Simply fill in the information below and click Submit Entry. You will need a game code in order
to play. Game codes can be found inside specially marked 8 oz. 12-packs of
Poland Spring Brand® Natural Spring Water OR 8-packs of
Poland Spring Brand® Natural Spring Water Aquapod® Spring Water.
*Required 
* Enter Game Code:     
* First Name  
* Last Name
* Address 1
  Address 2
* City
* State
* Zip
* Phone
 (Ex. xxx-xxx-xxxx)		    
* Email Address
* Date of Birth
* Gender
Yes, I have read and agree to the Full Official Rules of this promotion.*  
1.  How many bottles of single serve water does your household consume in a week?
Less than 3
3-5
5+
2.  What brands of bottled water do you buy? Select all
that apply.
Aquafina
Dasani
Poland Spring
Store brand
Other (please specify)
3.  How many kids do you have in your household? Please check all that apply.
No kids
Children under age 5:  0 1 2+
Children age 6 to 12: 0 1 2+
Children age 13+: 0 1 2+
Yes, I want to receive information and offers from Poland Spring Brand® Natural Spring Water.
Yes, I want to receive special offers and updates from other Nestlé Waters North America brands.
Yes, I want to receive offers, news and updates from NAMCO BANDAI Games America Inc.
* Enter the numbers below:
Can’t read the characters? Click Here
Don't have a game code? Click here for a free game code.