Official Ballot

Instructions: Select from the pull down in each category.
If your choice is not listed, select "Other" and fill in your choice to the right.
It is not necessary to fill in every category, just those in which you would like to vote.

Ballots completed by April 22, 2012 will be
entered in a drawing to WIN one of
(5) $100 area restaurant gift cards!
Limit one ballot per person.


Click here if you prefer to print/mail your ballot.

Participant Info

Name and Email are required, all other fields are optional.
First Name   
Last Name   
Street   
City   
State   
Zip   
Phone   
Email   
Please add me to your eMail list. ( All information is kept private and confidential)
Add Me to List   

home

1. Landscaper (Select from drop down list or use box to the right to fill in your selection)
   Other:   
2. Home Furnishings
   Other:   
3. Home Decor/Design
   Other:   
4. Lighting
   Other:   

food

5. American Restaurant (Select from drop down list or use box to the right to fill in your selection)
   Other:   
6. Bakery
   Other:   
7. Homemade Ice Cream/Gelato
   Other:   
8. Restaurant Bar
   Other:   
9. Steak Restaurant
   Other:   
10. Seafood Restaurant
   Other:   
11. Italian Restaurant
   Other:   
12. Mexican Restaurant
   Other:   
13. World Cuisine Restaurant
   Other:   
14. Catering
   Other:   

health / beauty

15. Day Spa(Select from drop down list or use box to the right to fill in your selection)
   Other:   
16. Hair Salon
   Other:   
17. Health Club/Personal Training
   Other:   

shopping

18. Florist(Select from drop down list or use box to the right to fill in your selection)
   Other:   
19. Eyewear
   Other:   
20. Men's Clothing
   Other:   
21. Women's Clothing
   Other:   
22. Jewelry
   Other:   
23. Shoes/Accessories
   Other:   
24. Gifts/Specialty Store
   Other:   

arts and entertainment

25. Live Performance Venue(Select from drop down list or use box to the right to fill in your selection)
   Other:   
26. Family Destination/Entertainment
   Other:   
27. Art Gallery/Studio
   Other:   
28. Museum
   Other:   
29. Sports Team
   Other:   
Click the Submit button below to submit your ballot.
Ballots completed by April 22, 2012 will be entered in a drawing to WIN one of (5) $100 area
restaurant gift cards!


Results will be published in the July/August 2012 issue of merrimack valley magazine.












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