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.
10 + 10 =
Answer the question.