Thank you for your interest in the "MACK'S® EARPLUGS FREE SAMPLE GIVEAWAY" *** This program opens at 11am (EST) Monday - Friday *** ELIGIBILITY This free ear plugs offer is open to a limited daily number of respondents (Monday - Friday). Entries will not be accepted once the daily free earplug allotment is depleted. Limit one submission per household. For U.S. residents only. This offer is provided to individuals only. Corporations, business entities, associations or groups may not participate. This offer is void where prohibited by law. Please complete the following to receive your free ear plugs sample ** A limited number of samples is available each day -- Entries will not be accepted once the daily free earplug allotment is depleted ** Name* First Last Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Style of Ear Plugs Requested*--Mack's Ultra Soft Foam Ear Plugs-1 PairMack's Snore Blockers Soft Foam Ear Plugs-1 PairMack's Dreamgirl Soft Foam Ear Plugs-1 PairHave you ever used Mack's Ear Plugs?*--YesNoI am 13 years of age (or older) and a resident of the United States.* I am 13 years of age (or older) and a resident of the United States.I am 13 years of age (or older) and a resident of the United States.I would like to receive Mack's news and information I would like to receive Mack's news and informationI would like to receive Mack's news and informationHiddenToday MM slash DD slash YYYY HiddenAddress Label FieldCommentsThis field is for validation purposes and should be left unchanged.