PROVIDE THE NAME WHICH YOU WANT THE $15* MILLION CHECK MADE OUT TO:

Fill out the form, click submit button, and you are in the contest. See rules for more.

Please provide the following contact information:

First name
Last name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
E-mail

Please send my friend an email so that he may join the contest also. He wants to be a multi-millionaire too. {You need not recommend another person to enter the contest.}

First name
Last name
E-mail

Choose one of the following options:

I am 18 years or more and agree to the rules.

*$15million is typical jackpot guaranteed by State of California agency. See rules for more. After you submit come back and exit here..........................



Last revised: feb14,2002