Cash Giveaway Eligibility Survey Form
Please complete the Cash Giveaway Eligibility Survey Form to determine your eligibility for the cash giveaway. All responses are required for eligibility screening.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
What is your age?
*
Country of Residence
*
Please Select
United States
Canada
United Kingdom
Australia
Other
Are you at least 18 years old?
*
Yes
No
Are you or any immediate family member an employee, contractor, or affiliate of the giveaway organizer?
*
No
Yes
Have you previously won a cash giveaway from us in the past 12 months?
*
No
Yes
How did you hear about this cash giveaway?
*
Please Select
Social Media
Email Newsletter
Friend or Family
Website
Other
On a scale of 1 to 5, how interested are you in participating in future giveaways?
*
Not interested
1
2
3
4
Very interested
5
1 is Not interested, 5 is Very interested
I confirm that all information provided is accurate and complete.
*
I confirm
Submit Eligibility Survey
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