To claim your prize, please fill in the form below.
: If the information entered above DOES NOT
match my records -
NO PRIZE WILL BE ISSUED
: You will be receiving an EMail confirming
receipt of this form.
Please enter your Time Club Membership Number.
Please enter your first and last name above.
Enter your prize:
Please enter your listed prize above.
PLEASE give your correct EMail Address - See Note 2 above!
Can I add your name to the "Winners' Circle"?
Please hit the Winner button ONLY once!.
Copyright © 1997-2005 by Ann M. Schafer