Win & Share The Gift of La Bottega Eligibility Form

I declare that:

I am of legal age and a resident of the United States.

I am submitting this Eligibility Form to BelGioioso Cheese Inc., that it, in connection with Sortis Marketing, has selected me as the winner of two (2) La Bottega di BelGioioso Holiday Collection cheese boards – one for me and one for a friend;

I represent that I am eligible to win two (2) La Bottega di BelGioioso Holiday Collection cheese boards – one for me and one for a friend;

I represent that I satisfy all eligibility requirements set forth in the Official Rules, which I acknowledge having read and understood, and any other requirements imposed by law;

I hereby represent and affirm that I have read, have complied with, and will continue to comply with all the rules, regulations, terms and conditions set forth in the Official Rules;

I have not perpetrated and will not perpetrate fraud or deception in connection with the contest and have not sought to influence the outcome other than by participating as expressly permitted in the Official Rules;

I have been given a full opportunity to review and analyze the Official Rules. I fully and completely understand all of the terms of this Eligibility Form and sign it voluntarily, freely, and knowingly.

By entering my name and phone number below, I affirm that the contact details provided are true and correct, and that I meet all the criteria described above.

Name *
Name
Phone *
Phone
My Prize fulfillment shipping details (no p.o. boxes, please)
My Name *
My Name
My Address *
My Address
friend's prize fulfillment shipping details (no P.O. boxes, please)
Friend's Name
Friend's Name
Friend's Address
Friend's Address