GROUPON x R1SE REDEMPTION FORM

Please complete this form in full so that we can create your R1SE account and redeem your Groupon voucher. Ensure correct emails and phone numbers are used and that they are unique for each person.

First Name *

Last Name *

Phone *

Email *

Groupon Purchased *

Groupon Security Code (it is 10 numbers / capital letters with no hyphens, it is not the Groupon Code!) *

If you are doing a two person experience then you must complete the full details of the second person below. Please do not use your own email and phone number as we need to create them a unique account.

Guest First Name

Guest Last Name

Guest Email

Guest Phone