Sign-Up Form -- Sophie's Mentertainment® Online Complete Computer System Raffle Step 1: Information and Signup

To sign up for the 400 MHz Complete Computer System Raffle, sponsored by Sophie's Mentertainment Online, simply walk through the following steps: completing each field where prompted. We will process your information and notify you if you win, the way you instruct us in this form. This raffle is open to anyone, living anywhere, where it is legal to participate in a raffle and/or where it is legal to receive a check in US currency. Drawing will be on December 15, in time for Christmas!

I am currently a Member Yes
(Leave box empty if not a member. Do you want to join? Click here to become a member.

How would you like us to notify you if you win?
 		Email me
Send me a letter by regular mail
Phone me at work (US only)
Phone me at home (US only)
Page me (US only)
Fax me (US only)

Your name:
Other than US: Checks Will be Made Out to The Name Given Above
Email Address:
Mailing Address:
City:
State/Province:
Country:
ZIP/Postal Code:
Home Telephone:
Work Telephone:
Fax Number:
Subscription ID (7 digits):
Choose your win: Send me the computer or color printer (in US only). C.O.D. shipping expenses (I, the winner, pay for the shipping)
Mail me a check
I certify that where I live it is legal to win a computer/receive a check for US currency