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<blockquote data-quote="klein" data-source="post: 890644" data-attributes="member: 23950"><p>dumbnuts , here's the release form I had to fax in :</p><p></p><p><strong><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">WINNERRELEASE </span></span></span></strong></p><p></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">I,<u> Klein __</u> (full name) hereby state and declare that I understand that I will be awarded the prize from the ‘<strong>DirectEnergy – Banishing Gripes</strong>’ draw, consisting of <strong>$100.00. </strong></span></span></span></p><p></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">Please send my prize to the followingaddress:</span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">Address: xxx8 – 1xx ave.</span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">City: Edmonton</span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">State/Province: Alberta</span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">Postal/Zip Code: Txx 3xx</span></span></span></p><p></p><p><span style="font-family: 'Tahoma'"><span style="color: #000000">In consideration for the receipt of the prize as mentioned above, I hereby:</span></span></p><p><span style="font-family: 'Tahoma'"><span style="color: #000000"></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">(a) Acknowledge that the prize is as described in the Contest Rules;</span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000"></span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">(b) Agree to accept the prize as awarded, in the condition in which I receive it;</span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000"></span></span></span></p><p><span style="color: #000000"><span style="font-family: 'Tahoma'"><span style="font-family: 'Tahoma'"><span style="font-size: 12px">(c)</span></span> </span><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="font-family: 'Tahoma'">Fully discharge and release Hotspex inc.,whatsoever for damage, loss or injury, howsoever arising as a result of my participationin the Contest and accepting and using the prize which I, my heirs, executors,administrators, personal representatives, successors or assigns have, may haveor could have now or hereafter against them or any of them in respect of orrelating to the Contest and the prize, including without limitation receipt ofthe Prize and use of the Prize, whether such use is by me or by anyone elseacting with or without my knowledge and/or consent;</span></span></span></span></p><p></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">(d) Consent to the use of my name, comments and/or photograph in any advertising orpublicity, without compensation or other liability to me or my heirs,executors, administrators, personal representatives, successors or assigns; and</span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000"></span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">(e) Declare that:</span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000"></span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">(i) I have complied with, and will comply with, all the rules of the Contest, and Ihave answered the fact-based question in the manner prescribed;</span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">(ii) I am an individual resident of Canada or another country and am not an employee,representative or agent of any of the afore mentioned Sponsors, theirsubsidiaries, affiliates, associated companies, advertising agencies or thecontest judges and I am not domiciled with any of the above; </span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000"> (iii) The terms of the Contest Rules and this Release shall apply to and be binding on meand my heirs, executors, administrators, personal representatives, successorsand assigns.</span></span></span></p><p></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000">Please respond to this SKILL TESTING QUESTION: </span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="color: #000000">(24 x 3) + (6/2) = 75</span></span></p><p><span style="font-family: 'Tahoma'"></span></p><p><span style="font-family: 'Tahoma'"></span><span style="font-size: 12px"><span style="color: #000000"><span style="font-family: 'Tahoma'"> ___________________ _780-6xx-1xxx_</span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000"> WITNESS’ SIGNATURE ENTRANT’S SIGNATURE TELEPHONE # </span></span></span></p><p><span style="font-family: 'Tahoma'"></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000"></span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000"> </span></span><u><span style="font-size: 12px"><span style="color: #000000"> _Oct18</span></span><span style="color: #000000">[SUP]<span style="font-size: 10px">th</span>[/SUP]<span style="font-size: 12px">, 2011__</span></span></u><span style="font-size: 12px"><span style="color: #000000"> Oct,18</span></span><span style="color: #000000">[SUP]<span style="font-size: 10px">th</span>[/SUP]<span style="font-size: 12px">, 2011</span></span></span></p><p><span style="font-family: 'Tahoma'"><span style="font-size: 12px"><span style="color: #000000"> DATE DATE</span></span></span></p></blockquote><p></p>
[QUOTE="klein, post: 890644, member: 23950"] dumbnuts , here's the release form I had to fax in : [B][FONT=Tahoma][SIZE=3][COLOR=#000000]WINNERRELEASE [/COLOR][/SIZE][/FONT][/B] [FONT=Tahoma][SIZE=3][COLOR=#000000]I,[U] Klein __[/U] (full name) hereby state and declare that I understand that I will be awarded the prize from the ‘[B]DirectEnergy – Banishing Gripes[/B]’ draw, consisting of [B]$100.00. [/B][/COLOR][/SIZE][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000]Please send my prize to the followingaddress:[/COLOR][/SIZE][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000]Address: xxx8 – 1xx ave.[/COLOR][/SIZE][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000]City: Edmonton[/COLOR][/SIZE][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000]State/Province: Alberta[/COLOR][/SIZE][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000]Postal/Zip Code: Txx 3xx[/COLOR][/SIZE][/FONT] [FONT=Tahoma][COLOR=#000000]In consideration for the receipt of the prize as mentioned above, I hereby: [/COLOR][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000](a) Acknowledge that the prize is as described in the Contest Rules; [/COLOR][/SIZE][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000](b) Agree to accept the prize as awarded, in the condition in which I receive it; [/COLOR][/SIZE][/FONT] [COLOR=#000000][FONT=Tahoma][FONT=Tahoma][SIZE=3](c)[/SIZE][/FONT] [/FONT][FONT=Tahoma][SIZE=3][FONT=Tahoma]Fully discharge and release Hotspex inc.,whatsoever for damage, loss or injury, howsoever arising as a result of my participationin the Contest and accepting and using the prize which I, my heirs, executors,administrators, personal representatives, successors or assigns have, may haveor could have now or hereafter against them or any of them in respect of orrelating to the Contest and the prize, including without limitation receipt ofthe Prize and use of the Prize, whether such use is by me or by anyone elseacting with or without my knowledge and/or consent;[/FONT][/SIZE][/FONT][/COLOR] [FONT=Tahoma][SIZE=3][COLOR=#000000](d) Consent to the use of my name, comments and/or photograph in any advertising orpublicity, without compensation or other liability to me or my heirs,executors, administrators, personal representatives, successors or assigns; and [/COLOR][/SIZE][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000](e) Declare that: [/COLOR][/SIZE][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000](i) I have complied with, and will comply with, all the rules of the Contest, and Ihave answered the fact-based question in the manner prescribed;[/COLOR][/SIZE][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000](ii) I am an individual resident of Canada or another country and am not an employee,representative or agent of any of the afore mentioned Sponsors, theirsubsidiaries, affiliates, associated companies, advertising agencies or thecontest judges and I am not domiciled with any of the above; [/COLOR][/SIZE][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000] (iii) The terms of the Contest Rules and this Release shall apply to and be binding on meand my heirs, executors, administrators, personal representatives, successorsand assigns.[/COLOR][/SIZE][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000]Please respond to this SKILL TESTING QUESTION: [/COLOR][/SIZE][/FONT] [FONT=Tahoma][COLOR=#000000](24 x 3) + (6/2) = 75[/COLOR][/FONT] [FONT=Tahoma] [/FONT][SIZE=3][COLOR=#000000][FONT=Tahoma] ___________________ _780-6xx-1xxx_[/FONT][/COLOR][/SIZE] [FONT=Tahoma][SIZE=3][COLOR=#000000] WITNESS’ SIGNATURE ENTRANT’S SIGNATURE TELEPHONE # [/COLOR][/SIZE][/FONT] [FONT=Tahoma] [SIZE=3][COLOR=#000000] [/COLOR][/SIZE][U][SIZE=3][COLOR=#000000] _Oct18[/COLOR][/SIZE][COLOR=#000000][SUP][SIZE=2]th[/SIZE][/SUP][SIZE=3], 2011__[/SIZE][/COLOR][/U][SIZE=3][COLOR=#000000] Oct,18[/COLOR][/SIZE][COLOR=#000000][SUP][SIZE=2]th[/SIZE][/SUP][SIZE=3], 2011[/SIZE][/COLOR][/FONT] [FONT=Tahoma][SIZE=3][COLOR=#000000] DATE DATE[/COLOR][/SIZE][/FONT] [/QUOTE]
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