Enter our monthly drawing to win a $100 Gift Certificate!

*First Name:

*Last Name:

Address:

City:

State / *ZIP:

Home Phone:

- -

*Email:

Daytime Phone

- -

* This information is required to enter drawing.

1. What products are you interested in?

Bar Pool Table Pin Ball Lighting	Entertainment Center Foosball Ping Pong Game Room Accessories	Bar/Kitchen Stools Air Hockey Game Tables
Other:

2. Would you like a home consultation
for a custom bar or entertainment center?
Yes No

3. Would you like to be informed about
Peters Billiards special events?
Yes No
How?
Phone Mail E-mail

I heard about Peters Billiards from:

Newspaper
Web Site
Home Show
Radio (Station: )
Friend

Mailing
Yellow Pages
Location
Other:

Note: Winners are notified by email and have 7 days to respond by email, providing
an address where their gift card can be mailed. Entry in this drawing assumes
permission for winner’s first initial, last name, and city of residence to be posted
on the Peters website.

Privacy Note: We respect your privacy and will never share your personal
information with other companies not affiliated with Peters Billiards.