Goldrush Top Up Refunds
Register here by October 12 at midnight to receive a refund of your cash Top Up via direct deposit or Venmo. Refunds will be processed by October 18.
First Name *
Last Name *
Email *
Phone Number *
Wristband UID *
This can be found on the back of your wristband chip
How would you prefer your refund? *
Venmo Handle
Enter only if you wish to receive your refund via Venmo
Name on Checking Account
Enter only if you are choosing to receive a refund via direct deposit
Checking Account Number
Enter only if you are choosing to receive a refund via direct deposit
Checking Account Routing Number
Enter only if you are choosing to receive a refund via direct deposit
Checking Account Bank Name
Enter only if you are choosing to receive a refund via direct deposit
Checking Account Bank Address
Enter only if you are choosing to receive a refund via direct deposit
Your Address
Enter only if you are choosing to receive a refund via direct deposit
Additional Comments or Notes
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