CGS - Contest Entry Form - Formstack

* Indicates required field

First Name:*

Last Name:*

Age:*

Gender:*

Phone Number:*

E-mail Address:*

Mailing Address: Line 1*

Mailing Address: Line 2

City:*

State/Province:*

Zip Code:*

Country/Region:*

How did you discover Country Girl Store?*

If other, explain:

Why are you the perfect Country Girl ® or Country Boy ®?*

It is not required for you to submit a picture with you wearing Country Girl products... But... It certainly doesn't hurt...

Upload Photo 1*

No File Chosen

File uploads may not work on some mobile devices.

We accept jpg, jpeg, gif, bmp, tif, psd & pdf files up to 25MB. You are required to upload 1 photo, but can upload up to 5 photos.

Upload Photo 2

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File uploads may not work on some mobile devices.

Upload Photo 3

No File Chosen

File uploads may not work on some mobile devices.

Upload Photo 4

No File Chosen

File uploads may not work on some mobile devices.

Upload Photo 5

No File Chosen

File uploads may not work on some mobile devices.

Do you agree to have your submission and photos posted on our site?*

I Agree I do not want to participate int he contest

By submitting contest information, I am giving countrygirlstore.com permission to post any information and entry photos on thier website. We reserve the right to remove advertisement text from the submitted photos.