CERTIFICATE OF ELIGIBILITY AND RELEASE
EMC UNIFIED STORAGE GUARANTEE SWEEPSTAKES
State of ) ) ss:> County of )
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:
Sworn to before me this:
day _______________ of , 2010
_________________________________________ |
______________________________ Return this certificate to: AlterSeekers, Inc. Attn: Lisa Valentine |