YOUR CAUSE CONNECTION

MONTHLY DRAWING REGISTRATION

We want to know your passion!

Each month we will give away a $25.00 gift certificate. Entering is Simple! All you have to do is tell us about a cause that is important to you. You are welcome to register up to 5 times each month with a unique cause for each entry.

Important Note: You do not have to be actively involved in the cause to register�.. just passionate about it!

*Name


*Contact Number


*Email Address


*Tell us about a cause that is important to you?


*Are you actively involved with this cause?
Yes No

Does your cause of have a website? Enter it if applicable.