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ENTRY FORM   You must submit a valid code from a specially-marked Natural Country, Ardmore Farms or Golden Gift juice carton - INCLUDING ANY LETTERS THAT APPEAR AS PART OF THE CODE (NO SPACES PLEASE) - to be eligible to enter the Sweepstakes. No other codes will be accepted. See official rules for details. SCREEN NAME DATE OF BIRTH (mm/dd/yyyy) EMAIL CODE FROM YOUR JUICE CARTON WHERE JUICE WAS PURCHASED Enter school district or convenience store location JUICE FLAVOR YOU WOULD LIKE TO SEE AVAILABLE I have read and agree to be bound by the terms and conditions of the rules set out in this Sweepstakes.     A purchase will not increase your chances of winning. Many will enter, few will win. The official name of the sweepstakes is the “Countdown to the Derby Sweepstakes” (the “Sweepstakes”). The Sweepstakes begins at 9:00 a.m. EST on March 1, 2006 and entries will be accepted until 11:59 p.m. EDT on August 31, 2006. The Sweepstakes is open to legal U.S. residents located in the U.S. at the time of entry, excluding residents of Puerto Rico, the U.S. Virgin Islands, and U.S. military installations located in a foreign country. Void where prohibited. The operator of the Sweepstakes is Country Pure Foods, LLC, 681 West Waterloo Road, Akron, Ohio 44314. iPod® and iPod nano® are registered trademark(s) of Apple Computer, Inc. This promotion is an independent promotion and is in no way affiliated with or has been authorized, sponsored, endorsed, or otherwise approved by Apple Computer, Inc.