Cash Prizing Waiver

Please fill out the following form within 5 business days of receiving.

Name *

Email Address *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone *

Date of Birth *

Government Issued Identification: Please upload a photo of your legal ID (passport/driver's license etc.) to confirm identity for cash prizing. You may block out sensitive information such as license numbers etc. *

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Accepted file types: jpg, jpeg, png, pdf, gif, Max. file size: 14 MB.

Rules & Regulations *Prize must be accepted as awarded and may not be substituted.By entering, the winner agrees to the use of his/her name, address, voice and likeness in any advertising or promotion without compensation.Employees of Harvard Media, their licensors, associates, affiliates, subsidiaries, advertising and promotion agencies or their immediate family members and/or those living in the same household are not eligible. Decisions of the judges are final.By accepting the prize, the winner agrees to hold sponsors, their respective directors, offers and employees and assigns, harmless against any and all claims and liability arising out of use of the use of the prize. Winners assume all liability for any injury or damage caused, or claiming to be caused, by participation in this promotion or use of redemption of any prize. By participation in the promotions, entrants agree to be bound by the official rules and the decisions of the judges.This contest is subject to all Federal, Provincial and Municipal Laws.You can only win this contest ONCE every 30 daysWinners are not eligible to compete for any prize for at least 30 days from the date they won.WINNER ACKOWLEDGEMENT: As the winner, I verify that I have read and agree to the terms outlined in the rules & regulations for this contest:

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