X10D Enter to Win $500.00
Fill out this form completely and email to x10d@nanochems.com
Name ____________________________
Address __________________________
__________________________
__________________________
__________________________
Telephone __________________Fax __________________
Email _______________________________
Tell us about your crops
Crop 1. __________ acres ________
Dry fertilizer Liquid Fertilizer
Broadcast___ Banded___ Broadcast ___ Banded ___
Crop 2. __________ acres ________
Dry fertilizer Liquid Fertilizer
Broadcast ___ Banded ___ Broadcast ___ Banded ___
Crop 3. __________ acres ________
Dry fertilizer Liquid Fertilizer
Broadcast ___ Banded ___ Broadcast ___ Banded ___
Crop 4. __________ acres _________
Dry fertilizer Liquid Fertilizer
Broadcast ___ Banded ___ Broadcast ___ Banded ___
Total acres dry_____ Total acres liquid _____ Total acres both _______
Email entry to x10d@nanochems.com
Must be 21 years or older to enter
One entry per address
Entries must be received by July 31st 2008
Winner will be drawn from all entries received by email
Odds of winning are determined by number of entries
Winner is responsible for all applicable taxes
Winner must agree to use of name or image in future promotions of X10D