Enter the Small Towns Big Dreams contest

Fill out the form below to enter the bimonthly Gatherings with Purpose Small Towns Big Dreams contest. 

Learn more about how the contest works and review contest rules.

Remember: Nonwinning entries will carry over into the next bimonthly entry period and will be eligible to win again until the contest ends, December 31, 2013. Entrants’ Facebook “likes” will be reset to zero at the end of each bimonthly period.

Your project location:

Your big dream (Please describe your big dream in 400 words or less.):

Your first name:

Your last name:

Street address:

City:

State:

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Zip:

Email address:

Month and year of birth:

Month 1 2 3 4 5 6 7 8 9 10 11 12   Year 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900

If available, please upload a photo or video describing your dream community improvement project. Please do not upload photos or videos that depict anyone under age 18.

Upload Image:

YouTube Link:

How did you hear about the contest?:

Gatherings website Facebook Twitter Modern Woodmen magazine Word of mouth Gatherings newsletter Modern Woodmen representative

Are you a Modern Woodmen member?:

YesNo

I agree to contest rules:

YesNo

Enter the code shown: