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Please fill out the form below and click "send" to be entered into the drawing. Limit one entry per person.

* Indicates this field is required for form to process correctly.
First Name*
Last Name*
ZIP Code*
Home Phone* (No Separators Please)
E-mail Address*
*Marital Status
Single      Married
Spouse's Name
*Housing
Own         Rent
Approximate Household Income
*Age
Under 21        21-24        25-39        40-49        50-75        76+
Does anyone in your home suffer from allergies or asthma?
Yes      No
Do you own any pets?
Yes      No
Do you currently own a FilterQueen product?
Yes      No
*How did you find out about the Think Big $20,000 Sweepstakes?
FilterQueen Representative       Filter Packaging        Email      
Internet Search
Other      
Yes, I would like to hear about special offers and home care tips from FilterQueen®.
*Signature
By providing my name and phone number, I am providing my electronic signature and consent to be contacted by the sponsors of this promotion, even if my number is found on a statewide or national do not call registry or list. Please read the 2009 Sweepstakes Official Rules.
*In order to combat false entries, please answer this simple addition problem:
Entry check: 12+9=

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