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$5,000 Shot Registration
Contest Rules and Regulations:

Must be 18 years or older to participate
Must be a U.S. Resident
Must be in attendance for selection
Must be present to be eligible
One (1) entry per person
Email address *
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Phone Number *
Your answer
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