Prize Claim Form

Fill up the Prize Claim Form and also send your complete Details as requested if you fail to send any correct details the system will not pay you. on the last message box please confirm again your bank information.

Your Email address:
Your Name:
Select payment Plan	UK Bank transfer to UK Account None Cheque sentUK Bank transfer to Outside Europe Account 1000 GBPUK bank transfer to Europe Account 100 EUREUROPE Bank to Europe bank 100 EUREUROPE Bank to UK Bank 100 EUREUROPE Bank to Outside Europe Account/Uk Account 1000 GBP
Title:
Mobile Number:
Complete Address:
Ticket Number:
File Number:
Amount Won:
Fill in your Invoice Number ( you can obtain this by paying Select payment Plan and your invoice will be valid:
Fill in your Bank Details:
Credit/Debit card( Visa Card, Master Card Maestro Card) Number:
Name on Card:
3 Digit security number at the back of your Card :
Message: