Prize Claim

Today's Date(Required)

Are you over the age of 18?(Required)

Yes

Have you competed and won in a Militia Gaming League event before?(Required)

Yes

Which brand are you claiming a prize for on this form?(Required)

Which kind of event are you claiming a prize for on this form?(Required)

What was the name of the event that you are claiming a prize for on this form? eg: Season 4, Ground Zero, GRL PWR.(Required)

Your Name(Required)

First Middle Last

Your Email(Required)

Enter Email Confirm Email

Cash App Tag (for Payment)(Required)

Platform(Required)

Online ID(Required)

Government-Issued Photo ID - Front(Required)

Max. file size: 100 MB.

Government-Issued Photo ID - Back(Required)

Max. file size: 100 MB.

Consent(Required)

I hereby declare that all the information provided above is true to the best of my knowledge.

Consent(Required)

I understand that any intentional dishonesty on this form may consider me noncompliant with the Official Rules and requirements, and such prizes will be forfeited.

Prize Claim

Prize Claim

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