By submitting this form, you are entering the Harley giveaway and granting us permission to contact you from time to time about our contests, products and services.

NO PURCHASE NECESSARY.  A purchase does not improve your chances of winning.  Sweepstakes open to any Firefighter, Volunteer Firefighter, Peace Officer, or a member of an appropriate related Association, age 18 and older who are residents of the fifty (50) United States and the District of Columbia, with the exception of AK, HI, MA, MI, NC, NY, RI, and WI. Residents of certain states must meet membership requirements outlined in the sweepstakes official rules.  To enter, fill out the form at http://go.calcas.com/harley. One entry per form submission. One entrant per entry. All entries must be received by January 31, 2012.  Winner will be selected in a random drawing on or about February 2, 2012 under the supervision of Sponsors. Information will be used in accordance with our privacy policy.  Odds of winning depend on the total number of entries received.  One winner will receive a 2011 Harley Davidson 48. All taxes and fees on prizes are the responsibility of winners.  Winner will be notified by e-mail or mail on or about February 2, 2012.  Acceptance of a prize constitutes winner's permission to use their names, likenesses, cities and states, and to be photographed for advertising and publicity purposes without additional compensation except where prohibited by law.  All federal, state and local laws and regulations apply.  Void where prohibited by law. Sponsor: California Casualty Management Company. All entrants are bound by the Full Rules.  For the Full Rules, go to http://go.calcas.com/harley.