8 7 39 10 Marden - Kane, Inc.
32 13 67 20 TRUE "YOU FOUND IT" SWEEPSTAKES SECOND PRIZE WINNER TRAVEL INFORMATION SHEET
19 23 81 26 THE DESTINATION IN THE CONTINENTAL UNITED STATES I WISH TO TRAVEL TO IS:
19 29 24 30 NAME
19 31 28 33 ADDRESS
19 34 24 36 CITY
42 34 48 36 STATE
64 34 68 36 ZIP
19 38 31 40 HOME PHONE
19 42 36 43 BUSINESS PHONE
19 46 35 47 NAME OF GUEST
19 49 23 50 AGE
20 52 33 55 RELATIONSHIP TO WINNER
19 58 88 60 PLEASE LIST THREE ALTERNATIVE DATES YOU WOULD LIKE TO TRAVEL
22 63 25 65 1.
23 66 25 67 2.
23 68 25 70 3.
19 72 40 75 MAJOR AIRPORT NEAREST YOUR HOME
20 76 32 79 AIRLINE: (CHECK ONE)
49 77 57 79 SMOKING
87 77 90 86 85201976
73 78 86 79 NON- SMOKING
20 82 52 84 SPECIAL DIETARY REQUIREMENTS
19 85 64 88 ANY ADDITIONAL INFORMATION YOU WOULD LIKE TO PROVIDE
