Prize Redemption Form

Place a request here to collect a prize won in one of our contests. NOTE: Our Prize Fulfillment Department processes and pays prizes daily until 5:00pm PST. Prize Requests received by 5:00pm will be processed and paid that same day. Prize Requests received after 5:00pm will be processed and paid the following day. Please allow up to several hours for a prize request to be completed.

Username*

First Name*

Last Name*

Email*

Cell Phone*

Notice: You MUST have performed an Identity Verification, at least once, to receive a prize. If you have already done this, you do not need to do it again

Prize Order

Prize amount you wish to redeem*

Promotional Contest you participated in:*

MOKU SWEEPSTAKES

TIGER SWEEPSTAKES

How do you want to receive you prize*

Mail me a check

PayPal Me

Venmo Me

Zelle Me

Enter your CashApp username

Be sure the Username you provide is accurate. Once the prize is paid, we may not be able to get it back.

Enter your Paypal username

Be sure the Username you provide is accurate. Once the prize is paid, we may not be able to get it back.

Enter your Venmo username

Be sure the Username you provide is accurate. Once the prize is paid, we may not be able to get it back.

Enter your Zelle username

Be sure the Username you provide is accurate. Once the prize is paid, we may not be able to get it back.

I acknowledge that the information I’ve provide is true and accurate

Signature (type your full name) :*