Camping Giveaway Claim Form

Camping Giveaway Claim Form
Please complete this form to claim your camping giveaway prize. All fields are required to verify your eligibility and arrange delivery or pickup.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Shipping Address (if you want the prize shipped)
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Entry Reference or Winner Code
Preferred Prize Delivery Method
If picking up, preferred pickup location
If picking up, preferred date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Special Instructions or Comments
Should be Empty: