JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SPIN THE WHEEL RAFFLE ENTRY FORM
Enter a chance to win gift certificates worth $150 - $600 applicable on FULL PAIR FRAMES AND LESNES. Please sign up to participate.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Please enter your name
*
Your answer
Please enter your email/ phone number
*
Your answer
Have you visited Precision Vision at 384 Bloomfield Avenue?
This does not affect your chances
*
YES
NO
Please enter your City / zip code
Your answer
I understand that submitting this form
doesn’t guarantee
a raffle ticket or prize. Winners are
chosen randomly
. Including my IG handle and engaging (follow, like, share)
increases chances
. I agree to the Terms and Conditions
*
I Understand & Agree
I agree to receive promotional emails or text messages about offers from Precision Vision. I understand I can unsubscribe at any time
*
YES
NO
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report