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$10,000 WHERE IT MATTERS – CUMIS Participation Form

Filling out this form gives you one chance* to enter the $10,000 WHERE IT MATTERS contest!

*If you commit to a CUMIS home or auto insurance contract between May 1, 2024, and September 30, 2024, you will be entered for a chance to win. The entrant's information will be verified and all eligibility requirements will be validated in order for the entrant to be declared a winner. A maximum of one form may be completed per participant.
We apologize, this form can only be displayed in French.
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