The Contest Show with Jeff and Pat

Complete the form below to suggest a contest to the Prize Guys. If we use your contest on any edition of The Contest Show, we will give you exciting "Gifts". All you have to do is fill out the below information and suggest a contest. If we use it on any edition of the show - we'll recognize you on the air and send you Gifts - It's that easy! Good Luck Loser!

Name*:
Address*:
City*:
State*:
Zip Code*:
Home Phone*
Daytime Phone*
Date of Birth*	mm/dd/yyyy
E-Mail*:
	* Required Field. Don't worry the Contest Guys won't call you in the middle of the night, send you spam, or sign you up for junk mail. We just want your contact info to contact you should we like your contest suggestion.

Your Contest Suggestion: