Atlantic Courier Service -      "ALL DELIVERIES ARE SPECIAL"
REGISTER TO WIN A $100.00 GAS CARD
 
No purchase required to win. Simply fill out the form below.
We promise not to share your information with anyone!!!!
Drawings are held monthly--No need to register more than once!!
You are automatically registered for each monthly drawing.
 
THIS IS A LIMITED PROMOTION-MONTHLY DRWINGS TILL October 2012
YOUR NAME
COMPANY NAME
EMAIL ADDRESS
PHONE NUMBER (OPTIONAL)
ADDRESS
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