OFFICIAL ENTRY FORM

Register here for a chance to enter the $5,000 SWEEPSTAKES.

Full Name: (1 entry per household)

Address: (full address)

City: State: Zip:

Phone (10 digits): Math Check: 10+1=? 
Next Drawing Date: 30th APRIL 2014
I accept the Official Rules of Entry.

Only one entry per household. No purchase or payment necessary to enter or win. A purchase will not improve your chances of winning.