PHEASANT NATION
Official Mail-In Entry Form
Free entry · 2024 GMC HUMMER EV Giveaway and Monthly Member Giveaways
NO PURCHASE OR MEMBERSHIP NECESSARY TO ENTER OR WIN. A MEMBERSHIP WILL NOT INCREASE YOUR CHANCES OF WINNING.
1Print this form. One form per envelope. Mail as many as you like.
2Fill in every field by hand in ink and sign. Typed or incomplete forms are void.
3Mail it by itself in a stamped envelope to the address below.
MAIL TO
Pheasant Nation Hummer EV Giveaway
Free Entry
2028 23 RD
Kearney, NE 68845
Free Entry
2028 23 RD
Kearney, NE 68845
ENTRIES & DEADLINESHummer EV: each valid form = 50 entries. No limit on forms, max 100,000 entries per person from all methods. Postmark by the Entry Close Date (the day we announce 10,000 active members, or Oct 16, 2027, whichever is first); must arrive within 7 days after. Monthly: 1 entry; must arrive by the last day of that month.
Enter me in (check one or both)
2024 GMC HUMMER EV Giveaway
Monthly Member Giveaway for the month of: ____________________ 20____
Entrant information (please print clearly)
First name
Last name
Street address
City
State
ZIP
Email
Phone
Date of birth (MM/DD/YYYY)
Certification
I am a legal resident of the United States or DC, and not a resident of New York or Florida.
I am at least 18 years old (19 in Alabama and Nebraska, 21 in Mississippi).
I completed this form myself and have read and agree to the Official Rules at pheasantnation.com/official-rules.
Optional: send me Pheasant Nation news by email. Not required to enter.
Signature
Date
Void in NY, FL and where prohibited. One form per envelope. Pre-filled, typed, mechanically or digitally reproduced, bulk or illegible entries, are void. A hand-copied form with every field completed is accepted. Sponsor is not responsible for lost or late mail; forms are not returned. No printer? Mail a self-addressed, stamped envelope marked "Form Request" to the address above. Official Rules: pheasantnation.com/official-rules. Sponsor: Pheasant Nation LLC, 2028 23 RD, Kearney, NE 68845 · support@pheasantnation.com · 308-223-3411
OFFICE USE ONLY
Entry ID ______________
Postmark ____________
Received ____________
Entry ID ______________
Postmark ____________
Received ____________