1.Please provide the following information to be registered for two tickets to the AFC Playoff Game, Sunday, January 15th.
First Name* M.I. Last Name*

Email Address* Daytime Phone* Evening Phone*
2.Please provide your email so we can contact you if you are the lucky winner
Email Address*
3.Please enter your date of birth.
Month* Day* Year*

4.Terms and Conditions
I have read, understand, and agree to the Website usage agreement and privacy policy.
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You must be 18 years of age to submit.

Be sure to watch 13 News This Morning on Friday, January 13 to find out if you are a winner! Winner will be notified by the phone number and email listed.

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