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Please fill out the form below to complete the submission process.
First Name*
Last Name*
Address*
(if you are drawn as a winner and would like to receive your prize, please provide a physical address and not a PO box)
Address 2
(Optional)
City*
State*
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Zip*
Email*
Phone*
I agree to the Terms and Conditions and acknowledge that I am 18+. Click
here
to view program Terms and Conditions.*
I would like offers and other updates from Nerds.
To complete your registration, please click on GET OTP button and enter the code sent to your phone as a text message.
To complete your registration, please click on GET OTP button and enter the code sent to your email.