CERTIFICATE OF ELIGIBILITY AND RELEASE
EMC UNIFIED STORAGE GUARANTEE SWEEPSTAKES

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I, ___________________________ , being duly sworn, depose and say that:
In connection with my entry in the EMC Unified Storage Guarantee Sweepstakes and to satisfy the eligibility requirements, I hereby certify that I am a legal resident of either the United States or the District of Columbia, Canada, United Kingdom or the Republic of Ireland. I am 21 years of age or older as of my date of entry and that neither I nor any of my immediate family members and/or those living in same household, is employed by EMC Corporation, (“Promoter”), its affiliates, subsidiaries, advertising or promotion agencies, or AlterSeekers, Inc. and hereby certify to the following data:

HOME  ADDRESS ____________________________________________________________________________________________________________
(Please  Print) 	Street Address   	  City         	  State/County/Province      Country	     Postal Code 
D.O.B. ________________________________________ SOCIAL SECURITY  NUMBER (IF U.S. RESIDENT)________________________________ 
EMAIL ADDRESS ______________________________________________ OCCUPATION __________________________________________________
EMPLOYER AND ADDRESS _____________________________________________________________________________________________________
HOME PHONE ___________________________________________________ BUS. PHONE ________________________________________________
(area code) (area code)

My address has changed (see above).

In the event that I am confirmed a winner:

  1. I hereby agree that Promoter and those acting under the Promoter's authority may use my name, picture/portrait likeness and/or voice, for advertising and promotional purposes in connection with the EMC Unified Storage Guarantee Sweepstakes.
  1. I hereby release and hold harmless Promoter, its affiliates, subsidiaries, advertising and promotion agencies, and Alterseekers, Inc., from any liability whatsoever, including death, and damage or loss of property, due in whole or in part directly or indirectly, from the acceptance, possession, use or misuse of the prize or participation related to the EMC Unified Storage Guarantee Sweepstakes.
  1. I understand that if I am a U.S. resident, I will be responsible for all Federal, State and other taxes on the prize I may win. Therefore my social security number is necessary to provide for tax purposes.
  1. I acknowledge that my entry may automatically be disqualified if this certificate is not received within 2 weeks of notification.
  1. I understand that if I make any false statements herein, I will automatically be disqualified.


Sworn to before me this:

day _______________ of , 2010

 

 

_________________________________________
NOTARY PUBLIC

______________________________
NAME (Please Sign)

Return this certificate to:

AlterSeekers, Inc. Attn: Lisa Valentine
939 Port Washington Blvd.
Port Washington, NY 11050 U.S.A.