Single Parent Santa


Mix 93.3 and Auto Bank are teaming up to make the holidays brighter for a single parent and his or her family by awarding one family with a car!
 
If you are a single parent in need of help for the holidays, take a minute to complete the entry form below.  Share a little bit about yourself, your family and your family's circumstance.  Or, if you have a loved one who could benefit from some help this holiday season, nominate them and tell us why they could use something special!

In entering this contest I understand that my information may be shared on the radio station.
One entry per person.  Multiple entries will be disqualified.
 
 Yes
* First & Last Name  
* Date of Birth  
* Email Address  
* Day Phone Number  
* Address  
* Sex and ages of children  
* Please describe your family's circumstance... how can you benefit from a car?  
I am a single parent.
 
Questions marked with * are required.
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