PRIZE ACCEPTANCE FORM

To be completed by the official prizewinner only

This number was provided to you when you were notified that you won a prize and starts with 33D. If you cannot locate this reference number please contact 33 Degrees prior to submitting this form.
If your prize does not include travel, please type 'Not applicable'. If your prize allows travel on dates nominated by you, please provide two options. If you are unsure of your travel dates, please type 'TBC'. Please note: Availability cannot be guaranteed during Christmas, school holiday, public holiday and special event periods. If your prize includes travel on set dates, please type 'Set dates'
Exactly as it appears on your passport (international travel) or drivers licence (domestic travel)
Exactly as it appears on your passport (international travel) or drivers licence (domestic travel)
Exactly as it appears on your passport (international travel) or drivers licence (domestic travel)
DD/MM/YYYY
Passport number, date of issue, expiry date, place of issue
Licence number, state of issue, expiry date
Note: preferred bedding configuration is on request and can not be guranteed
Please enter name of guest that you will share a room with
Eg. pregnancy or physical disability requiring special assistance. If none, please type 'None'
Full name, contact mobile number and email
Amendments and cancellation *
Waiver *
Please check boxes to agree to each of the conditions outlined below