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Thank you for participating in the 2017 Readers' Choice Awards voting.

Please provide your information below in order to be entered to win one of five $20 gift cards.
(Voting will take place through Friday, August 5th @ 5pm. Winners and Finalists will be notified by a member of the Rocky Mount Telegram advertising staff. The Readers' Choice 2017 magazine will publish on October 15, 2017.)

* 1. Name (First Last)

* 2. Email Address

* 3. Phone (ex. (555) 555-5555)

* 4. Address

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