Email Address:

First Name:

Last Name:

Gender:

Male Female

Age:

Zip Code:

Winners for the above prizes will be randomly chosen. All winners will be notified via e-mail. By submitting

this form, you are giving consent to have your submitted data added to SF Station’s e-mail list. This data may

also be shared by SF Station’s divisions, subsidiaries and affiliated companies in connection with this giveaway,

contest or survey. SF Station and all parties involved take privacy very seriously, and we guarantee e-mail addresses

and information collected will be kept confidential. If you wish to unsubscribe from the mailing list, you can do

so after you receive the first mailing by clicking on the Unsubscribe link.