| Contest Questionnaire
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| Official Contest/Promotion Name |
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| Contest Start Date (including exact time, date, time zone): |
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| Contest Close Date (including exact time, date, time zone): |
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| Contest Eligibility (Please add geographical restrictions) |
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| Languages: English & French |
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| Contest Sponsor’s Address |
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| Street Address |
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| Address Line 2 |
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| City |
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| State / Province / Region |
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| Postal / Zip Code |
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| Country |
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| Website for Contest Sponsor’s privacy policy |
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| Administrator’s Address |
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| Street Address |
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| Address Line 2 |
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| City |
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| State / Province / Region |
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| Postal / Zip Code |
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| Country |
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| Method of Entry to contest (random draw? skill testing contest? game? competition? Facebook and/or Twitter entry methods?) |
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| Number of entries and any restrictions on the number of entries? |
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| Information Required for Registration into the Contest/Promotion |
æNameæ
æPhone Numberæ
æPost Codeæ
æBirth dateæ
æCityæ
æProvinceæ
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| Address where Release Forms Should Be Sent To |
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| Street Address |
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| Address Line 2 |
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| City |
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| State / Province / Region |
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| Postal / Zip Code |
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| Country |
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| Grand Prize |
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| Grand Prize Value (approximate retail value) |
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| Number of Grand Prizes |
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| Grand Prize Restrictions (age requirements, flight departure and return dates, blackout dates, number of guests permitted, length of hotel
stay, what government ID and travel documents are required, what expenses are or are not covered such as transportation, transfers, food, beverages, taxes, tips or gratuities). |
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| Secondary Prize |
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| Secondary Prize Value |
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| Number of Secondary Prizes |
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| Number and approximate retail value of all other prizes. Add any special prize descriptions. |
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| Prize Winner Selection and Notification Details:1) When can we contact the winner?
2) How many days does a potential winner have to contact us?
3) How many times will a draw be redone if we can’t determine a potential winner the previous attempts?
4) How many days does an entrant have to return a declaration and release? |
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| Odds of Winning each prize |
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| Confirm No Purchase Requirement |
æYesæ
æNoæ
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| Release/Waiver Required |
æYesæ
æNoæ
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| Abbreviated Rules Required |
æYesæ
æNoæ
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| Description of skill testing question |
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| Bonus Entries |
æYesæ
æNoæ
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| Is it tell a friend |
æYesæ
æNoæ
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| Will the Contest be promoted on Facebook? |
æYesæ
æNoæ
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| Will the Contest be promoted on Twitter? |
æYesæ
æNoæ
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| Confirm that you will abide by all applicable laws including privacy policies and that the use of entry information from entrants will only be
used for the purpose of the contest administration unless they have specifically and clearly opted in in writing. |
æYesæ
æNoæ
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