Showcase Winner Register - PVS Gaming & Monitoring

Register Winner’s Details

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Register Winner’s Details

Please complete the form below on behalf of the caller. The caller will need to reference the Jackpot Receipt Voucher. This can be found in the Showcase Winner’s envelope provided to the winner by the venue.

Jackpot Receipt Voucher Example

Showcase Jackpot Win Details - Level 1

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 The Winner completed this form. A contact person completed this form on behalf of the Winner.

Contact name

Contact phone

Level 1 team member name