Form Center

T-Town Census 2020 Car Giveaway

2. 

4. First Name*

5. Last Name*

7. Address*

8. City*

9. Zipcode*

11. Census Confirmation Number*

12. Input Census Confirmation Screenshot

    Must display Tolleson address.

14. Phone Number*

15. Email*

17. Age Confirmation*

    1. Yes, I am 18 years of age or older.

18. Offical Rules*

    1. Yes, I have read and agree to the Official Rules.

20. Current Resident*

    1. Yes, I currently reside within the Tolleson City Limits

    (Addresses south of Buckeye Rd, north of McDowell Rd, east of 83rd Ave and west of 107th Ave do not qualify)
    Verification of Tolleson residency will take place prior to drawing.

22. 

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field