| First Name * | * Required |
| Last Name * | |
Email address * |
|
Confirm email address * |
|
| Phone number * (will only use if you win) |
- - |
Zip code * |
|
Birthday * |
/ / MM/DD/YYYY |
| How would they like to be contacted if they win:
Email Phone |
|
| Opt-in information: | |
| Yes, I would like to receive updates and info from Football.com | |
| Yes, I would like to receive information on new releases from TigerDirect.com | |
| Yes, I would like to receive information on new releases from Time Inc. | |
| Yes, I would like to receive more information about other sweepstakes and promotional opportunities | |
| RULES AND REGULATIONS | |