Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

DinetoWin Contest Entry-2020

  1. Mount Airy Restaurant Week Logo

  2. #DinetoWin Contest Entry

    Visit a Participating Mount Airy Restaurant April 20 through April 26, 2020
    and Submit your receipt by April 30th for your chance to win $500.00!

  3. Only receipts dated April 20-26th, 2020 at a Participating Restaurant are eligible.

  4. If it weren't for this contest, would you have eaten at this restaurant this week?*

  5. Please included as much contact information as possible. If we are unable to contact the chosen winner, another winner will be selected on May 6th at 10:00 AM.

  6. Entries must be received by Thursday, April 30, 2020 at 4:30 PM by upload.

    Alternatively, receipts may be dropped at Mount Airy Town Hall's front desk by April 30th at 4:30 PM. The address is:

    Town of Mount Airy
    110 S. Main St
    Mt. Airy, MD 21771

  7. Winner will be contacted using the contact information provided starting May 4th.
    Check presentation will be the scheduled with the winner on or near May 8th.

  8. A printable entry form can be found at https://www.mountairymd.org/354/Information-for-Businesses

  9. Leave This Blank:

  10. This field is not part of the form submission.