Scott Hutchinson Design
DARE Sweepstakes Alternative Entry Form
Please use this form to enter your DARE Sweepstakes card if you encounter any issues with your card, or our automated entry system. After filling out this form a note will be sent to us at DARE and we will enter you in the database, and send you a confirmation.
Phone Number (Optional, to contact you if we have questions about this submission, and to contact you if you are a winner, otherwise we will use your email)
Which Sweepstakes Card do you have? The Sweepstakes number is in the top right
We need to know which card you have to match up the data you are entering
From Card Area #1, Enter the Card number from your card
From Card Area #2, Enter the Login Code from your card. (If illegible or missing, please indicate illegible or missing.)
From Card Area #3, Enter the Security Code from your card. (It is ok to rub off the gray material to reveal the code.) If illegible or missing, please indicate illegible or missing.
(Optional) Attach a picture of your card. (From your camera phone is more than fine.)
Do Not Fill This Out