Free Herbal Essences Honey I’m Strong Shampoo or Conditioner Sample

"Support a friend in need with an inspirational HoneyGram message of strength to remind them they can conquer anything, and you’ll get a coupon for a free trial-size sample* of Honey, I’m Strong Shampoo or Conditioner,"

FYI: "*Coupon offer while supplies last, up to 100,000 coupons; 1 coupon per person/household. Offer begins 9/26/2012 and ends 3/25/2013 or when 100,000 coupons have been claimed, whichever occurs first. Samples are available only to legal residents of the 50 U.S. & DC and Canada (excluding Quebec), who, as of the last day of the month prior to the date of entry are 18 years of age or older if a U.S. resident, with the exception of residents of AL and NE who must be 19 or older and residents of MS who must be 21 or older or 19 or older if a Canadian resident. Void in Quebec and where prohibited."

What do I have to provide:

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After registration form was sent: "Thanks! Your coupon for a Free trial-size sample is on it's way.