Scratch me claim form

Kindly provide the following information for claims

Claimant’s Full Name:

Contact Address

Your Telephone Numbers:

Your Mobile Numbers:

I declare that:
•    The information entered is true and complete
•     I am aged 18 or over
•     Subject to this claim in respect of the Scratch card being accepted under the rules of the Scratch Me game to which this claim relates, I am legally entitled to the prize and I agree to pay 4242 Global Investments Ltd, if different, any costs, losses, damages and expenses they may suffer as a result of any misreprensation.