Please fill out the form with your name and address in order to be included in the $1,000 drawing sponsored by CIS Data Systems. CIS Data Systems will pick one winner per month from all eligible entriest and pay the winnings. This is a limited time program. CIS Data Systems can modify or discontinue this at any time.
First and Last Name
E-Mail Address
Address	Street: City: State:    Zip:
Phone Number
Are you interested in buying one of the following:	Farm Ranch Dairy Recreational Land Investment Property Home Small Acreage Not interested
Are you interested in selling one of the following:	Farm Ranch Dairy Recreational Land Investment Property Home Small Acreage Not interested
Would you like to receive a free copy of our newsletter?	Yes No
Would you like a realtor to contact you regarding any of our properties?	Yes No
What is a good time of day to reach you?	Early morning Midmorning Early Afternoon Late Afternoon Early Evening After 7:30pm