THE “OPEN ROAD” SWEEPSTAKES STARTS HERE…

Sweepstakes Entry Form

* Required for Contact of Winners

First name*
Last name*
Phone*
Email address*
Address*
Address 2
City*
State*	Choose one Alabama Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code*
Date of Birth *	Month January February March April May June July August September October November December / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Year 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920

Please answer the following survey to help us serve you better.

How would you like to receive future issues of Open Road?

Print eMail Both

Which Kia model do you drive?

Rio/Rio5 Sephia Spectra/Spectra5 Optima Rondo Amanti Sportage Sorento Sedona

When do you intend to replace your Kia vehicle?

Less than 3 months 4-6 months 7-12 months

What is your primary source of product information?

Television Internet Radio Magazine Newspaper Family/Friend Other

Thanks for filling out our survey.  Good luck in the sweepstakes!

 I want to receive Kia product information and special offers.

 

For technical problems in submitting your sweepstakes entry from, call (American Sweepstakes support 585-697-1888)

For questions about the contest, prizes, or other sweepstakes information, call Kia Consumer Affairs at 800-333-4Kia (800-333-4542)

*Airtime is not included with the iPhone. To operate the iPhone, winners have to subscribe to AT&T™ wireless, as AT&T is the exclusive service provider for the iPhone.

Sweepstakes presented by Kia Motors America.  For more information about Kia go to www.kia.com.