ONLINE CLAIM FORM

In order to receive any benefits, you must complete and submit your Claim Form (along with the required proof) by no later than June 8, 2018. You may do so by completing and submitting your Claim Form online through this Online Claim Form. Alternatively, if you prefer to submit your Claim Form by either postal mail or fax, you may obtain the Claim Form by clicking HERE and then follow the included instructions to return your Claim Form by postal mail or fax.

IMPORTANT: Screenshots or PDFs of this Online Claim Form will not be accepted by mail or fax. Therefore, if you would like to submit a Claim Form by either postal mail or fax, please obtain the Claim Form by clicking HERE, and then mail or fax the completed Claim Form (along with the necessary proof) by no later than June 8, 2018. Any Claim Form that is sent by postal mail must be postmarked with a date that is not later than June 8, 2018.

I. Enter Your Information

  • II. Please Provide Proof

    *You must provide proof in either one of the following two ways listed below. Please chose one option below and attach the accompanying proof. 

  • Drop files here or
    Accepted file types: pdf, jpg, jpeg.
  • IMPORTANT: You may make only one claim regardless of whether you have made one or more than one eligible credit or debit card transaction. Accordingly, if you had more than one eligible transaction you only need to provide proof of either one receipt or one statement showing that you made one credit or debit card transaction at any Philips Arena Hawks Shop at any time during the period August 1, 2014 to January 24, 2016.

  • III. Please Sign This Form

  • This field is for validation purposes and should be left unchanged.