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Please fill out all the fields below

First Name *

Last Name *

Age *

Email *

Phone Number *

Mailing Address Street/PO Box *

Mailing Address City *

Mailing Address Zip Code *

Name of the college you (or your student) plan to attend

I certify that I have read and agree to the Official Rules and I am: *

a resident of North Carolina who is a student, or a parent of a student, who will attend a college or university within or outside North Carolina within 12 months of the Giveaway entry OR
a resident of another state who is a student, or a parent of a student, who will attend a college or university in North Carolina within 12 months of the Giveaway entry.