*Name:

*Address:

*City:

*State:

*Zip Code:

*Phone Number:

*Email Address:

*Are you 18 or older? Yes No

*Gender: Female Male

Have you ever visited Park Rapids before? Yes No No answer

Voucher valid for 12 months from award date.  value up to $200.  No Cash Value.

Some Restrictions Apply.  See Award Property for details; Dependent upon availability; Must be 18 years of age or older to win.