HERSHEY BEARS _® SWEEPSTAKES FORM

Registration opens October 1st and ends October 31st, 2008.

The drawing occurs on or before November 7th, 2008. Winners will be notified on November 8th, 2008.

You must be a Pennsylvania resident 18 years of age or older to participate.

Click here for a complete list of official rules.

Full Name:
Street Address:
City:
State:
Zip:
Phone Number:
Email Address:
When was the last time that you purchased Mrs. T's Pierogies?
The last month
The last 3 months
The last 6 months
The last 12 months
What is the name of the grocery store that you most frequently shop?
I verify that I am over the age of 18.
I want to receive special offers on Mrs. T's products.
I want to receive more information about the Hershey Bears.