Ballot Entry Form

Please complete all fields and submit.

Your Kia Dealer Ballot # (Don't have a ballot #? Click here.)
Service redeemed:

Any service over $150

Wiper blades and winter floor mats & liners

Spark plugs

Antifreeze flush

Any genuine Kia accessory

Kia's 41 point vehicle inspection
First Name
Last Name
Home Address
City
Postal Code
Phone
E-mail Address

Some restrictions apply. See Rules and Regulations for complete contest details.