Please complete the following entry form (all fields are required):

First name:
Last name:
Address
City:
State:	Please select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Phone:
Email Address:

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Contestants will have the chance to rank the 8 lucky items in the winning order to WIN the grand prize!

Lucky List Rank:

1 -	Please select... Dress The Pinery Cake Flowers Rings Vows Love Tuxedo
2 -	Please select... Dress The Pinery Cake Flowers Rings Vows Love Tuxedo
3 -	Please select... Dress The Pinery Cake Flowers Rings Vows Love Tuxedo
4 -	Please select... Dress The Pinery Cake Flowers Rings Vows Love Tuxedo
5 -	Please select... Dress The Pinery Cake Flowers Rings Vows Love Tuxedo
6 -	Please select... Dress The Pinery Cake Flowers Rings Vows Love Tuxedo
7 -	Please select... Dress The Pinery Cake Flowers Rings Vows Love Tuxedo
8 -	Please select... Dress The Pinery Cake Flowers Rings Vows Love Tuxedo

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 Age:
20 - 29
30 - 39
40 - 49
Other       
 

 How did you hear about The Pinery?
Friend
Radio
TV
Internet
Magazine , Magazine Name:
Other  

When are you getting married?
3 - 6 mo
6 - 9 mo
9 - 12 mo
Other   

What is your budget wedding price range?
$5,000 - $10,000
$10,000 - $15,000
$15,000 - $20,000
Other   

Are you looking for an indoor or outdoor ceremony?
Indoor
Outdoor
Not sure

What are you looking for in a Wedding Center?
 

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