Chapters: Please fill out this form to request a CCO door prize for your chapter. If you want more than one certificate please add a separate entry. Each chapter can request one certificate per door prize type per calendar year.

Please do not send winners to this form.  They should contact the Help Desk at to claim their prizes. Please communicate the Door Prize Winner Rules/Terms listed below to participants.

Door Prize Winner Rules/Terms: Limit one prize per calendar year per person. No cash value, no substitutions, no rain checks and not valid on previous purchases. Certificates are non-transferable. Chapter officers are not eligible to win Door Prizes. Cannot be used with raffles or fundraisers of any kind. Other restrictions may apply.