I am submitting this Declaration of Eligibility, Release of Liability and Publicity Release (“Declaration”) pursuant to the The Weeknd July Giveaway Official Rules (“Official Rules”), which I hereby acknowledge I have reviewed and understand and agree to be bound by. Any terms capitalized in this Declaration that are not defined herein shall be defined in accordance with the Official Rules. I acknowledge and agree that this Declaration is effective as of the date I signed below.
I participated in the Promotion as an Entrant and have been notified by the Promotion’s Sponsor, BAM Trading Services Inc. d/b/a Binance.US (“Binance.US”), that I was selected as the potential Winner. I understand that pursuant to the Official Rules, the Sponsor may verify my eligibility as an Entrant before I am declared the Winner and am deemed eligible to receive the Prize. In furtherance of the terms and conditions of the Official Rules and Sponsor’s verification process, I am submitting this Declaration.
I understand that I must complete this Declaration and return it to Sponsor and that if I fail to do so or if I make any false statements in this Declaration, I may be disqualified as the Winner and may not be entitled to receive the Prize. The Official Rules remain in full force and effect and shall govern notwithstanding anything to the contrary in this Declaration. Without limiting the foregoing, I acknowledge and agree that all decisions of Sponsor are final in matters relating to the Promotion.
1. Eligibility. In order for my eligibility to be confirmed, I hereby represent the following:
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- I am a legal resident of the U.S., District of Columbia, or Puerto Rico. I am not a resident of Hawaii, Texas, New York, or Vermont.
- I am the age of majority in my place of residence as of the date of my entry into the Promotion.
- I have a valid U.S. driver’s license or government issued ID.
- I am not an employee, officer, director, shareholder, agent, or representative of Sponsor or The Weeknd and their respective parents, affiliates, subsidiaries and advertising and promotion agencies. I am not an immediate family member or household member of any of the foregoing.
- I submitted my entries on my own behalf up to the maximum number of entries permitted and did not use any automated system to participate in the Promotion.
2. Prize Conditions. I acknowledge and agree that there are certain restrictions and conditions concerning Sponsor’s awarding of the Prize, and the receipt of the Prize by the Promotion Winner, stated in the Official Rules. I acknowledge and agree to, as the case may be, abide by, comply with or otherwise fulfill such restrictions and conditions, which include in part the following:
- I am solely responsible for filing all required tax forms and returns and all federal, state and local taxes and other fees associated with my receipt and use of the Prize.
- No cash redemption or substitution for the Prize is allowed
- Release of Liability. Consistent with the Official Rules, to the maximum extent permitted by applicable law, I hereby affirm my agreement to waive and release Sponsor, The Weeknd, and their respective parents, affiliates, subsidiaries and advertising and promotion agencies and all of their respective officers, directors, employees, representatives and agents (collectively, “Released Parties”) from any and all claims of liability for any injuries, losses or damages of any kind, including death, to persons, or property resulting in whole or in part, directly or indirectly, from acceptance, possession, misuse or use of any prize, including any travel or other activity related thereto, or participation in this Sweepstakes.
3. Publicity Release. Consistent with the Official Rules, except where prohibited by law, I hereby affirm my agreement for Sponsor and its designees to use my name, address (city and state), photograph, voice and other likeness and prize information for advertising, trade and promotional purposes without further compensation, in all media (including digital media) now known or hereafter discovered, worldwide in perpetuity, without notice or review or approval. Tennessee residents may opt-out of this Publicity Release by initialing here: ______.
Signature: _________________________ |
Home Address: _____________________ |
Printed Name: ______________________ |
__________________________________ |
Email: ____________________________ |
Phone Number: _____________________ |
Date: _____________________________ |
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