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NAME: EMPLOYER: PREFERRED PHONE: PREFERRED EMAIL: HOME ADDRESS: CITY: SIGNATURE: - - STATE: ZIPCODE: Participants must be at least 18 years of age at the time of entry and possess a valid driver’s license or other form of photo identification. All prizes have been donated by local companies. Entry forms must be returned to the United Way office by noon on Friday, December 6, 2019. Prize winners will be announced in early 2020 at the Campaign Celebration. Winner must be present to win. No contribution to United Way of York County is required to submit an entry form into the prize drawing. United Way of York County 2019 Prize Giveaway Entry Form

Prize Entry Form 2019...Third Prize: One Day, All-Inclusive NYC or DC Trip, valued at $1,995, sponsored by Bailey Coach; Fourth Prize: MVP Level 1741 Club Membership, valued at $1,750,

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Page 1: Prize Entry Form 2019...Third Prize: One Day, All-Inclusive NYC or DC Trip, valued at $1,995, sponsored by Bailey Coach; Fourth Prize: MVP Level 1741 Club Membership, valued at $1,750,

NAME:

EMPLOYER:

PREFERRED PHONE:

PREFERRED EMAIL:

HOME ADDRESS:

CITY:

SIGNATURE:

- -

STATE: ZIPCODE:

Participants must be at least 18 years of age at the time of entry and possess a valid driver’s license or other form of photo identification. All prizes have been donated by local companies. Entry forms must be returned to the United Way office by noon on Friday, December 6, 2019. Prize winners will be announced in early 2020 at the Campaign Celebration. Winner must be present to win. No contribution to United Way of York County is required to submit an entry form into the prize drawing.

United Way of York County 2019 Prize Giveaway Entry Form

Page 2: Prize Entry Form 2019...Third Prize: One Day, All-Inclusive NYC or DC Trip, valued at $1,995, sponsored by Bailey Coach; Fourth Prize: MVP Level 1741 Club Membership, valued at $1,750,

The following prizes will be given away after the 2019 United Way of York County Campaign: Grand Prize: 2019 Harley-Davidson Iron 883 (XL883N) in Black, donated by Harley-Davidson Motor Company; First Prize: $5,000 Travel Voucher, sponsored by AAA Southern Pennsylvania; Second Prize: $2,000 Visa Gift Card, sponsored by Doceo; Third Prize: One Day, All-Inclusive NYC or DC Trip, valued at $1,995, sponsored by Bailey Coach; Fourth Prize: MVP Level 1741 Club Membership, valued at $1,750, sponsored by York Revolution; Fifth Prize: The Hershey Experience - $1,500 in Gift Cards toward Hershey Entertainment & Resorts, sponsored by Encompass Health Rehabilitation Hospital of York; Sixth Prize: Security System valued at $1,500, sponsored by Kleppers Security Source; Seventh Prize: $1,500 in GIANT Gift Cards, donated by GIANT Food Stores, Inc.; Eighth Prize: Stunning 14K Yellow Gold “Starburst” Diamond Pendant, valued at $1,500, donated by Futer Bros. Jewelers; Ninth Prize: $1,000 Cashier’s Check, donated by Heritage Valley Federal Credit Union; Tenth Prize: 5 Silver Wash Club Gift Cards ($317.40 each) and 5 Complete Detail Services ($199 each), donated by Apple Automotive. For complete rules and regulations, please visit United Way of York County’s website at www.unitedway-york.org/prize-giveaway.

Thank You to Our Prize Sponsors