Black Gold Stepper Giveaway - Prize Claim Verification

First name*

Last name*

Email*

Phone

Instagram handle

Which prize did you win?*

P3 Alchemy Experience (Ralitza)

Custom Tattoos (Victoria Carter)

Acupuncture (The Qi Station)

Reiki (The Qi Station)

First Home Game Plan Session (eXp Realty, Tiffany Brammer)

Athlete Stack Package (Chelsea Nikiforuk)

Loop Fu Session (Chimes Academy)

If you have it, upload proof (optional)

Best way for the sponsor/vendor to contact you

Email

Call

Text

Instagram DM

I consent to Sam Chimes Productions sharing my name + email (and phone/IG if provided) with the prize sponsor/vendor for prize fulfillment.

+1.778.775.7608

Vancouver, BC

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