WZA Prize Claim

Claim your prize!

You must fill out all the required fields to claim your prize.
WZA Registrant First and Last Name*

First NameLast Name
WZA Registrant Email Address*
You MUST enter the email address you used to register for the WZA Online Prize Challenge. This is how we avoid fraudulent prize claims.
Phone Number*

Area CodePhone Number
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

Claim your prize!