First Name * Last Name * Address * City * State * Georgia Zip Code * E-mail Address: * Phone Number * Which directory do you use? * Cumming Dawsonville Phone BookGainesville Dahlonega Phone BookRoswell Alpharetta Johns Creek Phone BookWoodstock Canton Cartersville Phone Book How did you hear about this giveaway? * Scanned QR Code on Front of Phone Book Scanned QR Code in Yellow Pages Visited www.buylocalbylocal.com Emailed from Friend Age Group * 18-24 25-39 40-59 60 and over Did you watch the video? * Yes No Comments/Suggestions * Required   OFFICIAL CONTEST RULES WHO CAN ENTER 1. To be eligible to participate in this contest, entrants must be a United States Citizen 18 years of age or older and reside in Dawson, Forsyth, Hall, Lumpkin, North Fulton, Cherokee, or Bartow Counties GA and have a valid Georgia driver's license. 2. Employees of Lakeview Publishing.com and their immediate family members of each are ineligible. The term "immediate families" includes spouses, grandparents, parents, siblings, children and grandchildren. HOW TO ENTER (a) No purchase is necessary to enter. Only one entry per contestant. (b) To enter, Scan a QR Code on the front of your Lakeview Publishing Directory, fill out and submit your entry form. (c) The contest starts on Monday August 22, 2011 and all entries must be received by Lakeview Publishing.com by 11:59 p.m. EDT on Saturday June 30, 2012. Lakeview Publishing.com is not responsible for late, lost or misdirected entries, or printing errors, server unavailability, computer or any other electronic malfunction, or if the form is not received. (d) One (1) winner will be selected by random drawing from among valid and correct entries on Monday, July 9, 2012. The winner will be contacted and announced through a video on www.buylocalbylocal.com. (e) All entries received that are tampered with, incorrect, illegible, or from ineligible entrants will be void. All entries become the property of Lakeview Publishing.com, and and will not be acknowledged or returned. THE PRIZE 1. One (1) winner will receive an iPad2. The iPad2 is valued at approximately $499 (plus tax). The winner must be a resident of Dawson, Forsyth, Hall, Lumpkin, North Fulton, Cherokee, or Bartow Counties GA and have a valid Georgia driver's license, reside in the United States. The winner is also responsible for add-ons, apple care, maintenance expenses, and any other fees and expenses associated with the iPad2. 2. The winner will be announced through a video on www.buylocalbylocal.com. The winner will be notified by email or phone on Monday July 9, 2012. Before claiming the prize, winner must provide their correct name, address and telephone number to Lakeview Publishing.com at the time of notification. The winner must show picture identification to claim prize. Lakeview Publishing.com reserves the right to examine additional identification and may choose to accept or deny awarding the prize based on the identification presented. The winner will be required to sign additional documents as determined by Lakeview Publishing.com. 3. If the winner cannot be notified within 2 days then the prize will be forfeited, and the prize will be awarded to an alternate winner randomly selected from among remaining valid and correct entries. 4. There will be no substitutions or cash alternatives for the prize. Lakeview Publishing.com has the right to substitute a prize of similar value. No tansfer or assignment of the prize is allowed. 5. Lakeview Publishing.com is not liable if the provider of any part of the prize fails to satisfy its obligations to furnish its portion of the prize. 6. Lakeview Publishing.com, affiliated and related entities, and the officers, directors, employees, licensees and assignees of each are not responsible for any liabilities arising directly or indirectly from the award or use of the prize. 7. In claiming your prize, you acknowledge that Lakeview Publishing.com has the right to publicize the winner's name, character, likeness, photograph, video, voice and the fact that you are the winner for promotional purposes without financial remuneration. 8. Apple is not a participant in or sponsor of this promotion.