Your first name*
Your last name*
Your e-mail*
Your street and house number*
Your postal code*
Your city*
Your country*
Your birthday*
Your tournament*
Your prize money in €*
Your GCH-code*
Your payout option* ---PayPalBank Transfer
Your payout details* - If you chose PayPal, please confirm your e-mail from above. - If you chose Bank Transfer, please enter your account holder name, IBAN and BIC/SWIFT.
Your currency option* ---EUR (default)USD (currency exchange costs may apply)GBP (currency exchange costs may apply)
Here you can tip us in €. This is fully optional but we would appreciate your support.
I confirm that the above data is correct to the best of my knowledge. I understand that this information will be used for the purposes of recording payments related to prize money. I agree that any costs caused by payouts and/or currency exchanges to my PayPal or bank account will be deducted from my prize money.*
I agree to the terms and conditions as described here: https://gorillaclubhouse.com/terms-and-conditions*
Please note that all fields marked with an asterisk (*) are required.