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Receipt Information:
WINNING RECEIPT INFORMATION HAS BEEN FILLED AUTOMATICALLY.
Please remember to include a photo of your
ENTIRE **
store receipt.
Only complete, original register receipts will be accepted and must clearly show
Receipt Number, Date, Cashier/Server, Venue and Amount.
We will e-mail you once your receipt is verified.
PLEASE DO NOT SUBMIT UNLESS THE INFO
BELOW MATCHES YOUR RECEIPT EXACTLY!
THIS INFO IS AUTO-FILLED AND CANNOT BE EDITED
Receipt Number:
*
Date:
*
Cashier/Server:
*
Venue:
*
Amount:
*
For verification, you must attach an
ENTIRE IMAGE
of your store receipt. A cell phone photo is fine.
*
Contact Information:
First Name
*
Last Name
*
Your e-mail Address
*
Confirm e-mail Address
*
Message:
**
Example of
Entire
Lucky Receipt With Necessary Information
1. Receipt Number 2. Date 3. Cashier/Server 4. Venue 5. Amount
