Showcase Jackpots Collection Delivery Confirmation

CONFIRMATION PROCESS

1. Ensure the Validation Number from the Jackpot Receipt Voucher is correct.
2. The win details will transfer to the completed form so long as the Validation Number is the same as the previously completed Win Details Form.
3. Complete this form to confirm the collection or delivery of the Prize Package.
4. A digital copy of the completed form saved as a Collection/Delivery Confirmation will be emailed to the Winner.

ACKNOWLEDGEMENTS

By completing this form you acknowledge the following:

• All personal details you provide will only be used and stored to fulfill the collection/delivery of the Prize Package.
• All components of the Prize Package have been collected/delivered.
• You understand and agree to the terms and conditions of the collection/delivery.

COLLECTION/DELIVERY CONFIRMATION FORM

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Validation *

How is the prize package being received?

Method *

• Collection
• Delivery

Receiver Name *

Receiver Method Deliverer

By signing below, the Receiver acknowledges:

• The prize package was arranged to be collected.
• A form of identification has been provided and verified.
• They have received all of the components of the Prize Package.

By signing below, the Receiver acknowledges:

• The prize package was arranged to be delivered.
• A form of identification has been provided and verified.
• They have received all of the components of the Prize Package.

Receiver Signature *

Clear Signature

Notes

Deliverer Name *

By signing below, the Deliverer acknowledges:

• They have cited the Receiver’s identification to prove they are eligible to receive the prize.
• They have handed over to the Receiver all components of the Prize Package.

Deliverer Signature *

Clear Signature

Confirm