The Captains Booty - The Captain's Boil

THIS FORM IS ONLY USED TO COLLECT NECESSARY DATA TO CONFIRM/VALIDATE THE PRIZE WINNER

NAME

PHONE NUMBER

EMAIL ADDRESS

PRIZE PICK-UP LOCATION

UNIQUE CODE ON SCRATCH CARD

SUBMISSION INFORMATION IS ONLY USED FOR PRIZE REDEMPTION, ALL DATA WILL BE STORED ON THE CAPTAIN’S BOIL SECURE SERVER UNTIL CONFIRMED.

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