Farm Expo Drawing

12V/20V MAX* Bluetooth® Cordless Jobsite Radio - DCR028B | DEWALT

Thanks for stopping by the KJIL/KHYM Table at the Woodward Farm Expo! Below is our Entry Form for the DeWalt Heavy Duty Radio!

Full Name

Shirt Size ( Unisex Adult Sizes)

Address

City / Town

State

Zip Code

Email Address

Mobile Phone

Over 18? (For our records)

Yes, I'm Over 18 No, I'm under 18

Guardian Name

(If Under 18, we need your Parent's or Guardian's Name)

Comments

This can be left alone:

Choose Station