HANNAFORD'S SUPERMARKETS

BIRTHDAY CAKE DRAWING

All children through age 12 are eligible.

Entries must be mailed or emailed - no phone calls, please.

The Monadnock Shopper News, PO Box 487, Keene, NH 03431-0487

DEADLINE: Two weeks prior to Child's Birthday

Questions? Call 352-5250

Child's Name:

Child's Birthdate (mm/dd/yyyy):

Child's Age (as of this next birthday):

Child's Sex (M/F)

Child's Residence (City & State):

Parent Name(s):

Contact E-Mail Address:

Contact Phone # (xxx-yyy-zzzz):