PRIZE CLAIM FORM DECLARATION AND COMPLETE RELEASE AND WAIVER OF CLAIMS (“PRIZE CLAIM FORM”) ONLINE SCRATCH AND WIN CONTEST (“Contest”)
In consideration of being selected as a potential Winner of the prize identified on the Confirmation email, which I have attached to this Prize Claim Form (the “Prize”) and in consideration of my receipt of the Prize, I, below named individual, hereby declare, confirm and agree that:
1. I am eligible to win the Prize identified on the Contest Label and as set out below: THE PRIZE DESCRIPTIONS The Prizes:
2. I have received, read, understood, complied with and will comply with the official Contest rules. (Click here for Contest Rules)
3. My receipt of the Prize is subject to verification that I have complied with the Rules.
4. I acknowledge that the Prize will be accepted as awarded to me, in the condition in which I receive it. I understand that the Sponsor, as defined in the Rules has the right, in its sole discretion, to make substitutions of equivalent kind or value in the event of unavailability of any component of the Prize for any reason whatsoever.
5. I acknowledge that I am financially responsible for all shipping costs and expenses if I choose to mail the prize to my mailing address.
6. I consent to the use by Forex Parcel Delivery Inc. of any personal information that has been provided in support of my participation in this Contest, as well as to the use of my picture, name and place of residence, in printed and broadcast publicity showing my participation in the Contest and enjoyment of the Prize, without any compensation or other liability or obligation to me, or my respective heirs, executors, worldwide administrators or personal representatives.
7. I have read the contents of this Prize Claim Form and I fully understand and agree to all of its provisions. I will maintain a copy of this document for my records. I acknowledge and consent to the provision of my personal information for the purpose of administering this incentive. Personal information collected will be used for the purposes of administering this incentive.
8. I represent and warrant that I have the legal authority to give and sign this Prize Claim Form.
WARNING: BY SIGNING THIS DOCUMENT ELECTRONICALLY, YOU GIVE UP YOUR LEGAL RIGHTS. THIS DOCUMENT CONTAINS COMPLETE RELEASE AND WAIVER OF CLAIMS AND UNUSUAL CLAUSES. READ THOROUGHLY BEFORE SIGNING.
1. I am eligible to win the Prize identified on the Contest Label and as set out below: THE PRIZE DESCRIPTIONS The Prizes:
- FV FOODS $3 OFF COUPON
- FOREX ANNIVERSARY SHIRT
- FOREX ANNIVERSARY TUMBLER
- FOREX ANNIVERSARY HAT
2. I have received, read, understood, complied with and will comply with the official Contest rules. (Click here for Contest Rules)
3. My receipt of the Prize is subject to verification that I have complied with the Rules.
4. I acknowledge that the Prize will be accepted as awarded to me, in the condition in which I receive it. I understand that the Sponsor, as defined in the Rules has the right, in its sole discretion, to make substitutions of equivalent kind or value in the event of unavailability of any component of the Prize for any reason whatsoever.
5. I acknowledge that I am financially responsible for all shipping costs and expenses if I choose to mail the prize to my mailing address.
6. I consent to the use by Forex Parcel Delivery Inc. of any personal information that has been provided in support of my participation in this Contest, as well as to the use of my picture, name and place of residence, in printed and broadcast publicity showing my participation in the Contest and enjoyment of the Prize, without any compensation or other liability or obligation to me, or my respective heirs, executors, worldwide administrators or personal representatives.
7. I have read the contents of this Prize Claim Form and I fully understand and agree to all of its provisions. I will maintain a copy of this document for my records. I acknowledge and consent to the provision of my personal information for the purpose of administering this incentive. Personal information collected will be used for the purposes of administering this incentive.
8. I represent and warrant that I have the legal authority to give and sign this Prize Claim Form.
WARNING: BY SIGNING THIS DOCUMENT ELECTRONICALLY, YOU GIVE UP YOUR LEGAL RIGHTS. THIS DOCUMENT CONTAINS COMPLETE RELEASE AND WAIVER OF CLAIMS AND UNUSUAL CLAUSES. READ THOROUGHLY BEFORE SIGNING.
