Complete and submit the form below for a chance to be 1 of 100 people randomly selected each month to receive a FREE T-Shirt. Offer good through December 31, 2009 for USA customers only.

*All fields are required to be eligible for drawing, including a valid email address. Please allow 6-8 weeks for delivery.

KYMCO USA Reserves the right to limit or end this offer at anytime without notice.

*First Name
*Last Name
*Address 1
Address 2
*City
*State	Select a State Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
*Zip/Postal Code
*Email Address
*Gender	Male   Female
*Shirt Size	Select a Size Small Medium Large X-Large XX-Large
*Birthday (MM/DD/YYYY)
*Do you currently ride?	Yes   No
*Where?	Off Road   On Road
*Are you interested in Motorcycle, Scooters, ATVs or UTVs?	Scooters   ATVs   UTVs
*Would you like to receive future email information from KYMCO USA?	Yes   No
Where did you see this offer?	Website Magazine What website?  What magazine?
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