I , , , , depose and say that:
I am of legal age in my home territory. My social security number is and my telephone number is ;
I am submitting this Affidavit of Eligibility to , with the understanding that it will be relied upon by in connection with my having been selected the winner of ;
I represent that I am eligible to win ;
I represent that I satisfy all eligibility requirements set forth in the official rules, which I acknowledge having read and understood, and any other requirements imposed by law;
I hereby represent and affirm that I have read, have complied with, and will continue to comply with all the rules, regulations, terms and conditions set forth in the Official Rules;
I have not perpetrated and will not perpetrate any fraud or deception in connection with the contest and have not sought to influence the outcome other than by participating as expressly permitted in the Official Rules;
I have been given a full opportunity to review and analyze the Official Rules. I fully and completely understand all of the terms of this Affidavit and sign it voluntarily, freely, and knowingly.