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After completing this survey, you will have the opportunity to enter a weekly sweepstakes to win a US $250 VISA Pre-paid Card. To be eligible, you must be a legal resident of the United States or the provinces of British Columbia (BC) or Alberta and 18 years of age or older or the age of majority in BC. Restrictions may apply. Void where prohibited by law. For official sweepstakes rules, click on the link below.
Please enter the following information from your receipt.
Restaurant Phone Number: CN1 - CN2 - CN3
Date: VisitDateMonth -- 010203040506070809101112 / Day -- 01020304050607080910111213141516171819202122232425262728293031 / Year -- 202320242025
Time: Hour -- 010203040506070809101112 : Minute -- 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Meridiem -- AMPM
Check Number: InputTransactionNum
