"Name This Newsletter" Entry Form

Name _________________________________

E-mail ______________________________________

WEMC Natural Gas Account # ______________________

Phone # ____________________

Address ________________________________________________

_______________________________________________________

My Suggestion ___________________________________________

Entry deadline is April 9, 2004.

Mail entries to: Walton EMC Natural Gas, Attn: Katie Woodall,

P.O. Box 260, Monroe, GA 30655

Thank you for your entry!

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