Showcase Jackpot Winner - PVS Gaming & Monitoring

Congratulations on winning the Showcase Jackpot

…

Congratulations on winning the Showcase Jackpot

Please complete the form below. You will need to reference the Jackpot Receipt Voucher. This can be found in your Showcase Winner’s envelope provided to you by the venue.

Jackpot Receipt Voucher Example

Showcase Jackpot Win Details

Validation number

Venue of win (select)

Date of payment - DD/MM/YYYY

Time of payment - 00:00:00

Win code

Prize package won (select)

Winner's Name

Winner's Phone

Winner's Address

Contact completing the form Contact completing the form I am the Winner completing this form. I am the contact person completing this form on behalf of the Winner.

Contact name

Contact phone