R-Store 2008 Entry Form

R-Store Re-wards- entry
(Limit one online entry submission per person per day.)
Contests ends at midnight on December 31st, 2006. contest rules privacy statement

Please complete the following entry items. Those items marked with an asterisk (*) are required. Incomplete or inaccurate entry forms will not be accepted. Limit one online entry submission per person per day during the length of the contest. Thank you.

* First Name
* Last Name
* Age
* Telephone Number
* Street Address
* City
* State
* Zip Code
* Email

* Which R-Store location do you frequent most? (Select only one)
Prentice R-Store U.S. Highway 8 & S.R. 13	Merrill Highway 51 R-Store U. S. Highway 51 & Hwy. Q	Wausau Courthouse R-Store 103 North Sixth Street
Mosinee West R-Store 1108 Western Avenue	Medford R-Store 805 North Eighth Avenue	Wausau Grand Avenue R-Store 2300 Grand Avenue
Mosinee East R-Store 124 Main Street	Stevens Point Highway 66 R-Store 2733 Stanley Street	Wausau Stewart Avenue R-Store 2007 West Stewart Avenue
Hwy XX R-Store 1790 Highway XX	Stevens Point Highway 10 West R-Store 232 Clark Street	Wausau Third & Bridge R-Store 1511 Third Street
Gillett R-Store 200 North McKenzia	Stevens Point Highway 10 East R-Store 5485 U. S. Highway 10 East	Rothschild Grand Avenue R-Store 1137 E. Grand Avenue
Tomahawk Crossroads R-Store 1727 East Somo Avenue	Plover North R-Store 2900 Mall Road	2 New Stores!
Tigerton R-Store 112 U. S. Highway 45 North	Plover South R-Store 3000 Mall Road	Marathon R-Store 401 Main Street
Clintonville R-Store 287 South Main Street	Wisconsin Rapids R-Store 3660 Eighth Street South	Edgar R-Store 403 S. Third Street
Phillips R-Store 396 North Lake Avenue	Pound R-Store Highway 141 North

How did you hear of the R-Store Rewards Program?


Corporate offices: 709 South 20th Ave. • Wausau, Wisconsin 54402-0239 715-845-7272 • Fax 715-842-0201 © 2004 Riiser Energy All rights reserved.