Prize Claim Form

FREE GIFT CLAIM Form

Fill out the form to claim your prize!!!
Name:

First NameLast nameSocial media name/@
Date I announced you as winner:

MonthDayYear
Mailing address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail:
example@example.com
Mobile Number
How/where did you win? (Fb giveaway, TikTok giveaway etc)
Additional Comments/questions
Should be Empty: