Share The Wealth And Win -PH
(Please Be Honest In Filling Out The Form)
By Providing Information, You Agree To Allow The Foundation To Use Your Name and Likeness On Leaderboards, Internet and Social Media
Name
*
First Name
Last Name
Email
*
example@example.com
What is YOUR Membership ID Number (Login, Under Your Name, Dashboard)
*
How Would You Like To Receive Your Reward
*
Please Select
Paypal
Gcash
Enter Your Valid and Verified Gcash Number
*
Paypal Email
*
Double Check Data Before Submitting (Form Can Only Be Filled Out Once/Person)
Number
Submit
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