Contest Entry Form
We will select by random draw every quarter  of 1998, a winner for a free custom website.  The website will consist of three to 10 pagesdepending on the options you choose. Please only enter one time we will keep your companies name for all drawings.  Simply fill in the Information below and use the submit button.
             
               NON-PROFIT ORGANIZATIONS

                                   AND

           COMMERCIAL BUSINESSES ONLY!!!!!!!

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you arenot using a forms-capable browser) you may e-mail your response to this form to: Webmaster@thefirststate.com 
       

      Please Enter Your Contact Name: Required

      Please Enter Your E-mail Address: Required

      Please Enter Your Mailing Address: 


      Please Enter Your Contact Number: 

      Please Enter Your Company's Name: 

     
          . . .