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Registration


Werner Electric Supply - Gridiron Glory Registration- Hoffman - Sylvania
Please complete the following form to enter your team into the 2008 Gridiron Glory football picks contest. Be sure to select a unique team name. Your team name will be used to display contest results. Werner Electric reserves the right to change team names at any time.

Your e-mail address will be used to send you weekly contest results.

*indicates required field

First Name*
Last Name*
Job Title*
Company Name*
Team Name* (be sure to remember your EXACT team name to ensure accurate scoring)
Werner Sales Representative*
Street Address*
City*
State*
Zip Code*
E-mail Address*
Phone Number*

Please e-mail me weekly reminders and results throughout the 2008 football season.*

I would like to register for Online Ordering*

Comments:


Contact Brian Thibault with any questions regarding your registration or contest picks: bthibault@wernerelectric.com