Jarana Tequila and Taste of Florida Margarita Rebate Your First Name: Your Last Name: Your Email: Address: City: State: Georgia Zip Code: Birthday: Phone Number: Size Purchased? 750ML1.75L Retailer Where Purchased: City & State Where Purchased: Picture of receipt: Check here if you accept these terms (Read the Terms in new window). Check to confirm you wish to receive more information about Jarana Tequila. (your information will be sent to Jarana Tequila) Any attempt by any entrant to obtain more than the stated number of entries by using multiple/different addresses, identities or registrations, or any other methods will void that entrant's entries and that entrant may be disqualified. Use of any automated, robotic, repetitive, programmed or similar entry methods or agents to participate is prohibited and will result in disqualification.