Thank you for completing the survey!

In order to be entered into the drawing for the iPad Mini, please enter in your contact information below. If you take the survey more than once your name will be removed from the drawing.

If you do not want to be entered into the drawing, you can exit out of the form without filling in your contact information.

You must provide at least one contact method (email or phone) to be entered into the drawing.

Your contact information will not be used for any other purpose than to contact you if you win the drawing; it will not be given to any individual or organization.

You will asked to show government issued picture ID as proof of age if you win. You must be at least 18 years old. Winners will be notified on September 3, 2013.

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Name:

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Phone number:

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Email address:

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Preferred method of contact:

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