Entry Form for Monthly Prize Award


You must complete all fields in order to qualify for an award.
If you are the winner your prize will be shipped to the address that you enter. If undeliverable to that address an alternate winner will be selected. Only one entry per household is allowed each month. Multiple entries in the same month will disqualify you from winning. Principles and employees of the companies listed on eBare.com are ineligible to win prizes. By entering this drawing you certify that you meet eligibility requirements to be a winner.

Privacy Notice: We don't use this information for anything other than prize notification and shipment. This information is not shared with anyone nor is it sold to others. You will not receive any emails from eBare.com unless you choose to be added to our mailing list.

REMEMBER TO CHECK OUR WEBSITE THE FIRST DAY OF THE MONTH
to see if your name was drawn.

YOU MUST CLAIM YOUR PRIZE TO WIN! (see rules on previous page)
First Name:
Last Name:
Street:
City/State:
Postal code:
Country:
Email:
Mail list: Yes   No