Vermont Fuels Your Vacation Sweepstakes Entry Form @ VermontVacation.com

Enter Now So Vermont Can Fuel Your Vacation

The contest runs from June 16 until October 27, 2008. You must be a resident of the U.S. or Canada and 18 years or older to enter. One entry per person per week allowed. Read the complete rules.

Vermont Fuels Your Vacation is a weekly drawing for $100 in gas vouchers redeemable at all Jiffy Mart and other participating locations in Vermont.

First, a few questions:

Have you visited Vermont before?

Yes

If so, when did you last visit?

Season:
Year:

For your next trip, what month(s) do you plan to travel to Vermont?

When?

From:
To:

How many nights do you plan
to stay in Vermont?:

Do you have a specific destination in mind?

How did you hear about the sweepstakes?

Now we need your mailing information: All fields with an asterisk () are required fields, and must be filled out in order to process your entry. (Either a phone number or email address is needed to confirm your entry if you win.)*
* First Name:
* Last Name:
* Mailing Address (1):
Address continued (2):
Address continued (3):
* City:
*State/Province:	(Required in US/Canada)
* Zip/Postal Code:	(Required in US/Canada)
* Country:
Phone Number (area code first):
Would you be interested in receiving e-mail newsletters from the State of Vermont? (Email address required)	Yes (Quarterly updates about special events, activities, and vacation packages)
* E-Mail Address:

Don't let the high price of gas get you down. Vermont is so near and yet makes a great getaway from it all. Why not find yourself in Vermont this autumn?