CONTEST

* denotes required field

*Your Name *First Name *Last Name *Birth Date January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 (month/day/year) *Mailing Address *Street Address Address 2/Suite *City Illinois Indiana Michigan Wisconsin *State *Zip Code Can't find your state? Sorry, this promotion is only open to residents of IL, IN, MI and WI. *Daytime Phone *Evening Phone *Email Chrysler does not intentionally market to children under 16 years old. By selecting this box, you verify that you are over 16 years of age.

*Why do you want to break the Guinness World Record™? *How did you hear about the "Sebring Says" Contest? Chicago Auto Show's Web site Chrysler's Web site Radio Online TV Newspaper Word of Mouth Other *Hometown Newspaper By providing your email address, you may receive future communications about updates, incentives and special offers from DaimlerChrysler. If you do not wish to receive future communications from DaimlerChrysler, please check this box.

No purchase necessary to enter or win a Prize. Entrants must be legal residents of Illinois, Indiana, Michigan and Wisconsin, aged 18 year