Enter to Win a $350 Gift Certificate!

Complete the following form for your chance to win a $350 gift certificate towards any TheraTrike tricycle purchased directly on theratrike.com. Winner will be selected on June 30, 2010.

Full Name:

Street:

City:

State/Province:

Postal Code:

Email:

Would you like to receive future communications from TheraTrike?

Yes
No

By clicking the Submit button below, you agree to the following terms and conditions. Winner will be notified by email. Gift certificate may be redeemed towards the purchase of any TheraTrike tricycle when purchased directly from theratrike.com. Gift certificate may not be combined with any other offer and is valid through September 30, 2010. TheraTrike dealers are not eligible to participate in this offer. Void where prohibited.