Holiday World “10 Minutes To Win It!” Registration Form

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Here’s your chance to win a pair of Holiday World and Splashin’ Safari tickets!

1) Fill out the form below

2) Listen to 105.1 VZA

3) When we call YOUR NAME, you’ll have 10 MINUTES to call us back at
1-800-345-2804, or *105 on your cellphone to win your tickets!

The clock is ticking…make sure you’re listening!

Note: multiple entries DO NOT increase your chances of winning.

Your Name (required)

Your Email (required, must be a valid e-mail address!)

What town do you live in? (must reside in the station's listening area)

Daytime Phone Number (so we can make sure someone else isn't pretending to be you!)