Worst Kitchen Contest Only one vote per person will be allowed in the showroom. You may also vote once online also. *Indicates Required Fields.Your vote may be disqualified if any are left incomplete.
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
*E-mail:
*Primary Phone:
Secondary Phone:
*Gender:	Male Female
*Source: How did you hear about the contest?	Street sign banner TV Commercial Valpak 99.9 KONY Country Today In Dixie Magazine Poster Website Friend or family Radio remodeling show K&B Focus Newsletter Newspaper Other
*Date of Birth:
*Drivers License #:	State:
*Have you heard of or hired a Certified Kitchen Designer before?:	Yes No
*Which of the contest sponsors are you the most familiar with?	Thermador Bosch Kohler Corian Advanced Aqua White Glove Gaggenau Zodiaq Dal-Tile Caesarstone Broan Starmark Mountainland Red Rock Bomanite Valpak KONY Country
*How familiar are you with Portrait Kitchens?:	Very Somewhat Not at all
*How favorable your impression of Portrait Kitchens?:	Very favorable Favorable Less than favorable Not favorable
May we share your information with our sponsors?:	Yes No
*I have read, understand, and agree with the Voting rules for the 2008 "Worst Kitchen Contest".	Worst Kitchen Contest Voting Rules: 1. Voters Must be 16 or Older to Vote. 2. Persons are Allowed a TOTAL of 2 Votes EACH. ONLINE: Only ONE Vote per Person On This Website IN PERSON: Persons are allowed ONE Vote. 3. Not Following these Rules will disqualify the Vote.

By submitting this information I guarantee it to be accurate to the best of my knowledge, and I also verify that I am the party listed in this registration form. I also understand that Portrait Kitchens may not be held responsible for incorrect, incomplete voting registration information which is not sent or received for any reason.