Pictorious winner detail form

 

 
Name *
Name
Address *
Address
Gender *
Phone *
Phone
Birth Date *
Birth Date
By clicking Claim prize, you are agreeing to take a picture beside your winning challenge certificate (bottom of page) and posting to two of your social media platforms explaining that you have won a prize on Pictorious. After doing this, email us the photo or video for us to send the prize. Thank you from the Pictorious Team!