CONTEST IS OPEN TO LEGAL RESIDENTS OF CANADA; WHO HAVE REACHED THE AGE OF MAJORITY ACCORDING TO THEIR PROVINCE/TERRITORY OF RESIDENCE AS OF THE DATE OF THEIR ENTRY

Limit of one entry per person per month.

First Name:   Initial Last Name:   Age    
Address:   City:  
Province:   Postal Code:    
Phone:     Email:    
Do you own any of the following:
Computer DVD Player DVD Recorder Stereo
VCR Camcorder Digital Camera iPod or MP3 Player
Do you currently use any of the following Maxell products:
DVDs CD-Rs Headphones Batteries
Audio cassettes VHS cassettes Camcorder Tape Rechargeable Batteries
Audio/video cleaners/adapters Camcorder DVD
iPod Accessories CD/DVD cleaners/repair kits
Comments:  
Where is you favorite place to buy Maxell products?
Where did you hear about this contest?
Internet Magazine TV Flyer Other:
Skill Testing Question: (12 x 3) - 3 + 11 =    
I would like to receive information on new Maxell products and special promotions via email.

* Required fields indicated in red.

Maxell Canada reserves the right to qualify or disqualify any applicant that has submitted false, misleading or incomplete information. Information collected is for sole use of Maxell Canada and it's affiliates for the purpose of executing this promotion. For more information on data collected please review our privacy policy . Please review the Rules and Regulations before submitting this entry form.