Contest Questionnaire

Contest Questionnaire Legal Checklist     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?) <br /><br /></p><br /> <p>

 

Number of entries and any restrictions on the number of entries? <br /><br /></p><br /> <p>

 

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). <br /><br /></p><br /> <p>

 

Secondary Prize

 

Secondary Prize Value

 

Number of Secondary Prizes

 

Number and approximate retail value of all other prizes. Add any special prize descriptions. <br /><br /></p><br /> <p>

 

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? <br /><br /></p><br /> <p>

 

Odds of Winning each prize <br /><br /></p><br /> <p>

 

Confirm No Purchase Requirement

ξYesξ
ξNoξ
 
 

Release/Waiver Required

ξYesξ
ξNoξ
 
 

Abbreviated Rules Required

ξYesξ
ξNoξ
 
 

Description of skill testing question <br /><br /></p><br /> <p>

 

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