Breakaway Giveaway Contest
For a chance to WIN a 2018 Chrysler Pacifica and $5,000 for your local minor hockey association, please fill out the entry form below and you will be entered in the contest.
Complete form in full
Enter your phone number: (555) 555-5555
Enter a correct email format
Enter your postal code: A1A 1A1
Would you like to be contacted by a retailer in your area?
Select a Retailer or Studio near you.
Please choose a retailer/studio
1 extra ballot
by selecting your vehicle(s) of interest and signing up for emails and special offers.
Which vehicle(s) are you most interested in?
Only 4 vehicles may be selected
Choose up to 4
Please make a selection.
Chrysler 300 SRT8
Dodge Challenger SRT8
Dodge Charger SRT8
Jeep Grand Cherokee SRT8
I confirm I would like to receive more information about FCA Canada’s lineup, new models and/or special offers via email or other means. By checking this box, I also confirm that I have read and agree to
and consent to FCA Canada sending the communications described herein. I understand that I may withdraw my consent at any time.
FCA Canada Inc., P.O. Box 1621, Windsor, ON N9A 4H6 Canada
By checking this box, I confirm that I have read and agree to the
contest rules and regulations
Confirm that you have read and agree to the contest rules and regulations.
Answer this question to confirm your submission.
3 + 9 =
Answer the question.