Versiti - Holiday of Hope Sweepstakes | Promotions and Sweepstakes

Sweepstakes Entry Form

Entry Form

To enter the Holiday of Hope Sweepstakes without donating (“AMOE”), complete the below online entry form during the Sweepstakes Period. By completing the online form, you will receive one entry into the Sweepstakes.

* First Name

* Last Name

Date of Birth

Phone Number

* Email

Address Information

* Address

Apartment or Suite

* City

* State

Illinois Indiana Michigan Ohio Wisconsin

* ZIP

* Consent Agreement

* Fields are required.

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