<h4>Please fill up the form before purchasing the game.</h4>
<div role="form" class="wpcf7" id="wpcf7-f1486-o1" lang="en-US" dir="ltr">
<div class="screen-reader-response"><p role="status" aria-live="polite" aria-atomic="true"></p> <ul></ul></div>
<form action="/events/dare-to-win/#wpcf7-f1486-o1" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="1486" />
<input type="hidden" name="_wpcf7_version" value="5.5.6" />
<input type="hidden" name="_wpcf7_locale" value="en_US" />
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f1486-o1" />
<input type="hidden" name="_wpcf7_container_post" value="0" />
<input type="hidden" name="_wpcf7_posted_data_hash" value="" />
</div>
<p><label> Your Name<br />
<span class="wpcf7-form-control-wrap your-name"><input type="text" name="your-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </label></p>
<p><label> Phone<br />
<span class="wpcf7-form-control-wrap your-phone"><input type="tel" name="your-phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" aria-required="true" aria-invalid="false" /></span> </label></p>
<p><label> Your Email<br />
<span class="wpcf7-form-control-wrap your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" /></span> </label></p>
<p><label> City<br />
<span class="wpcf7-form-control-wrap your-city"><input type="text" name="your-city" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </label></p>
<p><label> State<br />
<span class="wpcf7-form-control-wrap your-state"><input type="text" name="your-state" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </label></p>
<p><label> Pin Code<br />
<span class="wpcf7-form-control-wrap your-pincode"><input type="text" name="your-pincode" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" /></span> </label></p>
<p><label> Delivery Address<br />
<span class="wpcf7-form-control-wrap your-deliveryaddress"><textarea name="your-deliveryaddress" cols="40" rows="10" class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required" aria-required="true" aria-invalid="false"></textarea></span> </label></p>
<p><input type="submit" value="Submit" class="wpcf7-form-control has-spinner wpcf7-submit" /></p>
<input type='hidden' class='wpcf7-pum' value='{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}' /><div class="wpcf7-response-output" aria-hidden="true"></div></form></div>
