This Mother's Day, XL Country is teaming up with Langohr's Flowerland & Copper Whiskey Bar & Grill to Give Thanks to Mom.

Just fill out the form below, letting us know your mom and three reasons you're thankful for her. That's your entry to win.

Every day during Mother's Day week (May 2 - 6) we'll draw out a qualifying winner who will receive a daily prize for mom from Langohr's. Daily prizes are a blooming plant (day 1), a gift basket (day 2), a patio planter (day 3), a hanging basket (day 4) and a $50 bouquet of mixed flowers (day 5).

On the Friday morning before Mother's Day, Dave & Amy will draw the grand prize winner from all of our qualifiers. Our ultimate winner will receive a $100 bouquet of mixed flowers for mom for Mother's Day, along with a $100 dinner certificate from Copper Whiskey Bar & Grill.