Golden Ticket Sweepstakes Winning Ticket Redemption Form
Please fill out the required fields to claim your prize! Once your ticket code and information is verified, the Balanced Body team will be in contact with you.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What color ticket did you win?
*
Green Ticket
Golden Ticket
I won more than 1 ticket
Winning Ticket Code
*
This is a unique code printed on your winning ticket.
IF APPLICABLE: 2nd Winning Ticket Code
In the rare chance that you've won two tickets, please enter the second ticket code.
Date the ticket was discovered
*
-
Month
-
Day
Year
Date
How would you like to confirm your order?
*
Enter order confirmation number
Submit a screenshot of order confirmation email
Order Confirmation Number
*
This can be found in your order confirmation email from info@pilates.com.
Screenshot of order confirmation email
*
Upload a File
Drag and drop files here
Choose a file
The order confirmation number must be visible in the photo.
Cancel
of
Photo of your ticket with code showing
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
To verify authenticity, please submit a photo of your face and the ticket in the same frame
*
Upload a File
Drag and drop files here
Choose a file
*Photos may be used in Balanced Body promotions and marketing materials.
Cancel
of
Redeem Ticket
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