atlantic.jpg (37804 bytes)      rocklogo.gif (10588 bytes)

Atlantic.Net & Rock 104 Online Entry Form

Register to win one (1) year of Atlantic.Net's 56K Internet access and an Atlantic.Net t-shirt. 
Winners will be notified via e-mail after the drawing.  See rules and restrictions below. 
Brought to you by Atlantic.Net and WRUF Rock 104.

Fill in the fields below to register online for the contest!
All the fields are required, so be sure to fill it out completely.

First Name
Last Name
Address
City/State/Zip
Phone
Email
 

Click here to sign-up now for Atlantic.Net's 56K Internet access.

Click here to go to Atlantic.Net's Surf site.

Contest Information
No purchase necessary.  One entry per valid e-mail address.  Must be 18 years of age or older to qualify. 
Winner will be selected via random drawing from all entries received by November 30, 1999. 
Drawing will be held on December 1, 1999.  Use of Atlantic.Net's access service are subject to acceptance
to terms and conditions of Atlantic.Net's Acceptable Use Policy.