SURVIVOR Pickem Ballot

1 Most Likely to be Voted Off - 5 Least Likely to be voted off)
(25 for 1st, 20 for 2nd, 15 for 3rd, 10 for 4th and 5 for 5th)

TRIBE A				TRIBE B
1 - 				1 - 
2 - 				2 - 
3 - 				3 - 
4 - 				4 - 
5 - 				5 - 

Which Tribe will Win Reward (5 Points for correct guess) :
Which Tribe will Win Immunity (5 Points for Correct Guess) :
(5 Bonus Points if the same tribe wins both)

PICK 3 Players from EACH TRIBE FOR THE POWER PLAY (Mark an X next to that Player)

TRIBE A				TRIBE B
Player				Player
Player				Player
Player				Player
Player				Player
Player				Player
Player				Player
Player				Player
Player				Player

Survivors Voted off:
NONE

Picks must be in by 5pm on day of Air to count

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