Stuck at Prom® Survey

Stuck at Prom®

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Survey

Got an Early Start on Your Prom Outfit? We Want to Hear From You!

Are you ready to be a star? The Stuck at Prom Scholarship Contest® is a great way to have a blast with duct tape and have a shot at winning some cash for school (Up to $5,000 EACH!).

First Name*

Last Name*

Address*

State*

Closest Major City*

Home Phone Number*

Cell Phone Number*

E-mail Address*

Name of High School*

Year in School*

Date of Prom (MM/DD/YYYY)*

Have you started work on your outfit?

YesNo

If not, when do you anticipate starting?

Are you comfortable being contacted by television stations, radio stations and newspapers for interviews?

YesNo

Any details of your outfit you'd like to share? Theme, colors, design, etc.

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Get your hands on Duck® Products.

Media Inquiries

Got an Early Start on Your Prom Outfit? We Want to Hear From You!

Products

Solutions

More About Duck^®

Connect with Duck^®

Get the Duck to do it.™

Tough Task? Count on Duck® Products.

Featured Products

Solve it with the Duck®.

Featured Solutions

Contests, coupons and offers.

Featured Promotions

Join the Duck Tape Club®

Get your hands on Duck® Products.

Media Inquiries

Got an Early Start on Your Prom Outfit? We Want to Hear From You!

Products

Solutions

More About Duck®

Connect with Duck®

More About Duck^®

Connect with Duck^®