Prize Affidavit Form

To claim a Par 3 Hole-In-One resort lodging prize, please provide the requested information below along with your winner's information. Please allow 6-8 weeks for CSG to FedEx the prize directly to your HIO winner.

Order ID:
Organizer Email:
Name of Hole-In-One trip winner:
Address:
Address 2:
City:
State:
Zip:
Daytime Phone:
Evening Phone:
E-Mail:
Which JBC Resort:

To claim a JBC Round II Hole-In-One Shoot-Out for either a $50,000 or a $1,000,000 Grand Prize:
CLICK HERE TO PRINT OUT MANDATORY INSURANCE FORM