Enter the 2015 Dental Health Sweepstake 

Enter the 2015 Dental Health sweepstake. Just fill out the information below and you'll be one step closer to winning!

One winner from each city will win one year's worth of Health Items/Food from the local market participating retailer ($100 per month for a total of $1,200). Plus, one Grand Prize winner will be selected from all entries to win a Hot beach trip to the Florida Keys or to a Cold ski trip to Jackson Hole.

Must be 18 years or older to enter.Read Sweepstakes Rules & Regulations

 

A_EML
^[\w_-]+(\.[\w_-]+)*@[\w_-]+(\.[\w_-]+)*\.\w{2,4}$
Email not in proper format
Please enter email field
A_FNAME
^[a-z,A-Z]{2,30}$
Please enter valid first name
Please enter first name
A_LNAME
^[a-z,A-Z]{2,30}$
Please enter valid last name
Please enter last name
A_SUBC_TITLE
^[a-z,A-Z]{2,6}$
Please enter valid title
Please enter title
A_SUBC_ZIP
^[a-zA-Z0-9]{2,10}$
Please enter valid zip code
Please enter zip code
A_YEAR_BIRTH
^(19|20)\d{2}$
Please enter valid year of birth
Please enter year of birth
A_SUBC_PHONE
^[0-9]{6,14}$
Please enter valid phone number
Please enter phone number
A_SUBC_ADDRESS1
^[a-zA-Z0-9]+(?:[\s-][a-zA-Z0-9]+)*$
Please enter valid address
Please enter address
A_SUBC_ADDRESS2
^[a-zA-Z0-9]+(?:[\s-][a-zA-Z0-9]+)*$
Please enter valid address
Please enter address
A_SUBC_STATE
^[a-zA-Z0-9]+(?:[\s-][a-zA-Z0-9]+)*$
Please enter valid state
Please enter state
SUBAA00760