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Note for current Reliant customers: Contact information and preferences collected on this form will not be reflected on your Reliant account. If you would like to update your Reliant account contact information or marketing preferences, please on to your account at

† Must be 18 years or older to enter. No purchase necessary to enter. Limit one entry per household. Eligibility and prize restrictions apply. To enter, visit or See Official Rules for details and other disclosures. Purchase will not increase your chance of winning. Online entries must be received by 11:59 p.m. CT at the end of each phase to be eligible to win. Odds of winning are dependent upon total number of eligible entries received.

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