TAKEOUT BINGO Submission Form
Thank you for playing Takeout Bingo! Please use the following form to submit your entry. For every five places you visited, you can submit one entry. Partial lists of less than five will not be counted.

If you are selected as a winner, we will verify your receipts after the drawing.

IMPORTANT: ALL PURCHASES MUST OCCUR BETWEEN May 1 and May 31, 2020. PURCHASES MADE OUTSIDE THESE DATES ARE NOT ELIGIBLE. We will announce 5 lucky winners from each card June 4th on the Reinhart Burlington Facebook page! @ReinhartBurlington

NO PURCHASE NECESSARY TO WIN. A PURCHASE WILL NOT IMPROVE YOUR CHANCES OF WINNING. VOID WHERE PROHIBITED OR RESTRICTED BY LAW. OPEN TO LEGAL RESIDENTS OF THE 50 UNITED STATES AND THE DISTRICT OF COLUMBIA WHO ARE AT LEAST 21 YEARS OF AGE.
Name (First & Last) *
Your answer
Email (Must have cell or e-mail contact to win)
Your answer
Cell Number (Must have cell or e-mail contact to win)
Your answer
Mailing Address, Town & Zip Code *
Your answer
BINGO Card Number *
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