Free Zebra Pen

"You can claim your new Zebra Z-Mulsion EX pen with just two clicks! By entering the giveaway, you are also automatically entering a raffle for three Shoplet gift cards valued at $50, $100 and $150!"

FYI: USA.

What do I have to provide:

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Name/Address
E-mail
Facebook Username
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After registration form was sent: "You Have Successfully Entered into the Free Zebra Pen Giveaway and $300.00 Shoplet Cash Giveaway."