Request edit access
Worldbuilders Lottery Entry Form
Please fill out the form below, and we will get you entered for the chance to win some of the fabulous prizes in our 2019 Worldbuilders Lottery. You can view all available prizes at worldbuilders.org/lottery.
Full name *
If you win, we need to know who to send your prize to!
Your answer
Email address *
We will only use this if we need to contact you about a prize you've won.
Your answer
Shipping Address line 1 *
Your answer
Shipping Address line 2
Your answer
City *
Your answer
State/Province
Your answer
Postal code *
Your answer
Country *
Your answer
What types of prizes would you like to be entered to win? *
Select as many as you would like! You get one entry for every $10 donated, and all entries count for all the selected categories.
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Worldbuilders. Report Abuse