Electronic Signature*

Please enter your name and address as they appear on your driver's license or official ID:

Title

First.Name*

Last Name*

Address 1*

Address 2

City*

State*

Zip Code*

Date of Birth *
(mm-dd-yyyy)
- -

Gender*

^{Valid email required for sweepstakes entry}
Email Address¹*

* Pursuant to the Electronic Signatures in Global and National Commerce Act and applicable state laws, I consent to SMA Communications (and its affiliates) use and reliance on my electronic signature to verify the information that I have provided herein, and understand that I may withdraw this consent at any time. For more information about our information collection and use policies, please read our Privacy Statement. By submitting the registration information I certify that I have read and agreed to the Official Sweepstakes Rules and the Sweepstakes Privacy Statement. I grant permission to verify my age. Subject to eligibility restrictions. Void where prohibited. No purchase necessary.

NO PURCHASE NECESSARY. Promotion begins at 12:00:01 AM CDT on January 1, 2024 and ends at 11:59:59 PM CDT on December 31, 2024. Open to legal residents of the fifty (50) United States or the District of Columbia 21 years of age or older. Void where prohibited. See official rules for details. Sponsored by SMA Communications, LLC, 6853 SW 18th St, Suite M200, Boca Raton, FL 33433

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