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Contest Questionnaire

Contest Questionnaire

 

 

Official Contest/Promotion Name

Contest Start Date (including exact time, date, time zone):

Contest Close Date (including exact time, date, time zone):

Contest Eligibility (Please add geographical restrictions)

Languages: English & French

Contest Sponsor’s Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Website for Contest Sponsor’s privacy policy

Administrator’s Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Method of Entry to contest (random draw? skill testing contest? game? competition? Facebook and/or Twitter entry methods?)

Number of entries and any restrictions on the number of entries?

Information Required for Registration into the Contest/Promotion
ξNameξ

ξEmail

Addressξ

ξPhone Numberξ
ξPost Codeξ
ξBirth dateξ
ξCityξ
ξProvinceξ
Address where Release Forms Should Be Sent To
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Grand Prize

Grand Prize Value (approximate retail value)

Number of Grand Prizes

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).

Secondary Prize

Secondary Prize Value

Number of Secondary Prizes

Number and approximate retail value of all other prizes. Add any special prize descriptions.

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?

Odds of Winning each prize

Confirm No Purchase Requirement
ξYesξ
ξNoξ
Release/Waiver Required
ξYesξ
ξNoξ
Abbreviated Rules Required
ξYesξ
ξNoξ
Description of skill testing question

Bonus Entries
ξYesξ
ξNoξ
Is it tell a friend
ξYesξ
ξNoξ
Will the Contest be promoted on Facebook?
ξYesξ
ξNoξ
Will the Contest be promoted on Twitter?
ξYesξ
ξNoξ
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.

ξYesξ
ξNoξ

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