Wicked Women
"When The Wicked Meets Your Front Door...."
Purkey's Pink Apple Contest

This is a contest that if you view the place mat at the
Purkey's Pink Apple in Tunkhannock, Pa, you will get the code word.

Entry Form
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:

Contact Information
Daytime Phone:
Evening Phone:
Email:

CODE WORD
Code word inter here
I authorize Wicked Women to submit my info for the weekly contest.



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