Mothers Day Form

Celebrate Mother's Day anyway you'd like! You could win a $50 Visa Gift Card for Mom!

Thanks for taking time to honor Mom

To get qualified, include one or more of the following:

Share a picture of your Mom
Leave a Mother's Day Greeting below or by calling 207-947-9423. If you call, please give your name and a phone number to contact if you win.
Share a favorite memory with Mom below or by calling 207-947-9423. If you call, please give your name and a phone number to contact if you win.
All entries must be received by 6:00pm, 5/11 to be qualified to win.

* Indicates required field

Your Name *

First

Last

Your Town *

Mom's Name *

First

Last

Mom's Town *

Email *

Phone Number in Case You Win *

Choose Any *

I'll call in my entry

Comment *

Upload File *

Max file size: 20MB

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