Who Can Enter

This Sweepstakes is open only to legal U.S. residents age 18 or older who reside in one of the following Marketing Regions:
Atlanta GA, Austin TX, Birmingham AL, Charleston SC, Columbia SC, Dallas TX, El Paso TX, Greenville SC, Jacksonville FL, Miami FL, Myrtle Beach SC, San Antonio TX.


First Name

Last Name

Address 1

Address 2



Zip Code


Home Phone


Security Key

Communications Opt In

GlaxoSmithKline (GSK) responds promptly to consumer emails and intends to have those transmissions delivered directly to consumer email accounts. GSK is not responsible for consumer email programs, Internet Service Providers, or corporate email servers that block GSK email messages with filtering software and prevent email from reaching consumers. May we at GlaxoSmithKline have your permission to send you postal, email, and/or SMS communications? Our goal is to provide value to you with timely health information, promotional offers, and relevant product news, or to request your feedback in confidential consumer surveys. We respect your privacy and you will always be given the opportunity to stop such communication in accordance.
By ticking this box you accept that GSK may share your information with our affiliates and subsidiaries as well as authorized independent third parties who may assist us in collecting and processing information.