Fill out all the information and enter the 12 phrase sentence in the corresponding field below. No purchase necessary.
Contest is open only to legal residents of North Carolina who are at least 18 years old as of the date of entry.
   Enter Contest   
Register for our contest by filling out the form below. Registration is required for voting.
General Information
* First Name: 
* Last Name: 
* Birthday: 
* Gender: 
 Male      Female
* Public Name: 
  Must be 4-10 characters
* Email: 
  Only one registration is allowed per email address.
* Confirm Email: 
* Phone: 
  Will only be used to contact winners.
* Postal Code: 
What's the phrase? 
  Enter the 12-word phrase in this field.
Password Information
Passwords must be 8 to 20 characters.
* Password: 
* Confirm Password: 
Double check to make sure your information is correct and then hit submit below. Thank you for your participation.
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