Merkle Social Site

Please take a minute to provide your info so we can verify your eligibility.

If you've won a physical prize (rather than a gift code or other digital prize), we will ship your prize to the address you provide.

We are unable to ship to P.O. Boxes, so please provide a physical address.

Profile

Social Handle* (from applicable promotion channel)

Promotion Hashtag(s) or Name*

First Name*

Last Name*

Email Address*

Date of Birth*

country (needs copy)

Address

Street Address*

Apt./Suite

City*

State/Province*

ZIP/Postal Code*

Additional Details

*Required

Winner Verification Form