Full Name *
Street Address *
Please choose pickup or delivery:
When contacted that I am a winner, I will pick up my breakfast cup and gift certificate at Jersey Girl on January 18, 2020 between 9am and 1pm.
If I am a winner, I prefer contactless delivery of my breakfast cup and gift certificate at my home.
Please select one of these delivery methods.
You may ring the doorbell.
Leave at the front door.