Giveaway Eligibility Claim

Full Name *

Email Address *

Must be the same email address used to enter the giveaway.

Confirm Email Address *

Shipping Address *

Shipping Address

Address Line 1

Address Line 2

City

State/Province

Zip/Postal

Age Confirmation *

I confirm I am age 18 or older, reside in the continental United States, and that the address I have entered above is able to receive shipments in my name from Amazon.

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