This Form is for Winners Only

Prize Verification Form

I understand that Star 96.7/Alpha is not responsible for any lost, stolen, or damaged prizes which are sent to me by mail. I am aware that Star 96.7/Alpha reserves the right not to mail prizes that are valued above $50.00, bulk prizes such as cd’s and DVD’s that have been won. Star 96.7/Alpha will not be required to replace any prizes that have been lost, stolen, damaged, arrive late or compensate the listener for said items. – Signing this waiver does not guarantee Star 96.7/Alpha will mail your prize and is subject to verification of prize won. – Star 96.7/Alpha will hold prizes for a maximum of 30 days; prizes not claimed within 30 days will be forfeited and become property of Star 96.7/Alpha.