Participant Registration | Shaw Capture The Spirit

Participant Registration

Shaw Account No

First Name

Last Name

Your Role

How long have you been in your current role at this company?

BUSINESS ADDRESS

Address

Building, Suite, Etc

City

State / Province

Zip / Postcode

Country

Business Phone

HOME ADDRESS

Address

Appt/Suite

City

State / Province

Zip / Postcode

Country

Cell Phone

Text Messages

Do you want to receive notices about upcoming promotions and bonus opportunities?

SSN/SIN(Canada)

Email Address

Pursuant to the Patriot Act enacted by the U.S. Government, in order to issue a reloadable debit card or fund an existing card, we must obtain a Date of Birth for each participant.

Date of Birth

Type a user name for your account. This is the name you will use to sign in to www.shawcts.com.
Your password must be at least 6 characters long.

User Name

Password

Password Again

I AGREE TO THE TERMS AND CONDITIONS