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Registration
 

Register for our contest by filling out the form below. Registration is required for voting.

Click HERE for some great CountryMax coupons!
 
General Information
 
* First Name: 
 
* Last Name: 
 
* Birthday: 
   
 
* Gender: 
 Male      Female
 
* Public Name: 
 
  Must be 4-10 characters
 
* Email: 
 
  Only one registration is allowed per email address.
 
* Confirm Email: 
 
* Phone: 
 
  Will only be used to contact winners.
 
* Postal Code: 
 
  
    Yes, I would like to be invited to participate in future promotions.
 
* What brand/type of dog food do you feed your dog? 
 
* Have you ever shopped at CountryMax before? 
 
If so, which location is your favorite? 
  Batavia
  Baldwinsville
  Brockport
  Cicero
  Cortland
  DeWitt
  Fairport
  Farmington
  Geneseo
  Henrietta
  Norwich
  Ontario
  Oswego
  Palmyra
  Seneca Falls
  Spencerport
  N. Tonawanda - Thiele's
 
Password Information
 
Passwords must be 8 to 20 characters.
 
* Password: 
 
* Confirm Password: 
 
Email Options
 
  
    I'd like to receive email updates, special offers, and discounts from CountryMax!
 
Double check to make sure your information is correct and then hit submit below. Thank you for your participation.
By submitting the form you are confirming you are at least 18 years of age and have read and agreed to our terms of service, privacy policy and rules.
 
 
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Buzz Dog of the Year 2019

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