Mail Form

You MUST be 21 years of age or older to participate.  This form is ONLY for participants that are willing to meet at Jeff's Sports Bar, 2002 Fry Rd. Houston, TX. to collect the reward.  By submitting this form implies that you are over 21.  You will be contacted by E-mail or phone to make arrangements to collect your prize.  

Please provide the following information:

Name Required
Phone
E-mail Required

 

If you signed the Guest book then submit this form for your free beverage. Please feel free to write any comments in the box below.

       Comments:    

 

Copyright 1999 North Shore Computer Services.
Last revised: May 17, 1999