Learning Commons Prize Drawing 2011

1. Enter the Drawing

Thank you for completing the Learning Commons Feedback survey. If you would like to enter the drawing to win a gift certificate to the USM Bookstore and the USM Logic Shop, please enter your contact information below. If you do not want to enter, you can leave the fields blank and press "DONE".

THIS INFORMATION CANNOT BE CONNECTED TO YOUR RESPONSES TO THE STUDENT SUCCESS CENTER SURVEY.

Question Title

* 1. Please enter your name, and the best way to reach you (email address, physical address, or phone number) if your name is selected as part of the random prize drawing.

Name:

Address:

City/Town:

State:

ZIP:

Email Address:

Phone Number: