Prize Redemption Form

Place a Prize Redemption order here for any prize won in one of our contests. NOTICE: All Prizes will be verified prior to being forwarded to our Fulfillment Department

Username*

First Name*

Last Name*

Email*

Cell Phone*

Notice: You will be contacted on the cell phone or email you have registered with us, for verification purposes.

Prize Order

Prize amount you wish to redeem*

Promotional Contest you participated in:

ROYALE SWEEPSTAKES

SWEEPSCOACH SWEEPSTAKES

How do you want to receive you prize*

Enter your CashApp username

Enter your Paypal username

Enter your Venmo username

Enter your Zelle username

Your request will be processed within 1 business day of submitting this request. The Prize requested will be cleared from your account and mailed to you within 5 business days. For prizes in excess of $599, we will provide you an IRS W-9 form. You are required by law to fill out, sign and return the IRS W-9 form, prior to your prize being mailed to you. If the prize requested is in excess of the prize won and available, this request will be voided. Participation in any Promotional Contests is FREE (No Purchase Necessary) and voluntary. You also are acknowledging that participation in promotional contests is lawful in your jurisdiction. For complete contest rules go to http://callmeloco.com

Acknowledgment

Signature (type your full name) :*