Prize Verification Form
This Form is for Winners Only
- I understand that 95.9 The River/Alpha Media is not responsible for any lost, stolen, or damaged prizes which are sent to me by mail.
- 95.9 The River/Alpha Media will not be required to replace any prizes that have been lost, stolen, damaged, arrive late or compensate the listener for said items.
- I am aware that 95.9 The River/Alpha Media 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.
- I understand that I will be issued an Internal Revenue Form #1099 if my year to date prize winnings total $500 or more.
- Prize is subject to verification.
- I agree to indemnify and hold WERV-FM harmless from any and all claims, suits and action which may arise out of, or any harms, liabilities or damages I may incur, as a result of my having won the aforementioned prize.
- I hereby attest that I am not an employee of WERV-FM or its agencies, nor is any member of my immediate family.
- 95.9 The River/Alpha Media will hold prizes for a maximum of 30 days; prizes not claimed within 30 days will be forfeited and become property of 95.9 The River/Alpha Media.