Win a $100 Gas Card from Tri State Medical Group!

We appreciate our customers and to reward those loyal people who have supported us, we're giving away five $100 Gas Cards each month, from April to August 2009! To register to win the Gas Card, all you need to do is complete the form below.

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By submitting this form, you understand that you are signing up for a contest entry to win a $100 Gas Card from the Tri-State Medical Group. You also will be added to our email newsletter to receive periodic email messages from us. All communications from us a subject to our normal Privacy Policy and Terms of Use. You must agree to these terms as a condition for entry. The Official Rules and regulations regarding our $100 Gas Card Sweepstakes are available here.
I have read and agree to the conditions set forth above and within the Official Rules of the $100 Gas Card.

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3924 Main Street • Weirton, WV 26062 • 304.797.8746 Phone • 304.797.8752 Fax