The Country Register of Pennsylvania and West Virginia: Register to Win

With each issue of The Country Register of PA/WV, we give away two $25 Gift Certificates to be used at any business advertised in that issue. Please take the time to register to win. We'd love to also receive a favorite recipe, quote, tip or a craft project you want to share with other readers.

To enter, just fill out and submit the following form. A drawing will be made prior to the next issue and the winner will be notified personally and announced in the next issue. Limit one entry per household per issue, please. Note: we do not place your information on any mailing list. Your phone number will only be used to call you for comments if you win.

First name: Last name:

Address:

City: State: ZIP:

Phone: Email:

My favorite advertiser in this issue is:

I enjoy visiting this shop because:

I picked up this issue of The Country Register at:

Is this the first time you've seen The Country Register?

Will you visit the same shop to get the next issue?

Do you take advantage of free gifts or discounts offered in the ads?

How many new shops have you discovered through The Country Register?

Name and location of a shop you think should advertise in The Country Register:

Once you are at the shops do you tell them you saw their ad in The Country Register?
Always Sometimes Never Will Now

Which kind of shop is your favorite? (hold the "Ctrl" button down to select more than one):

Other (please specify):

Other Comments (optional):

Fill in your favorite recipe, quote, tip or a craft project (optional):