This Form is for Winners Only

Prize Claim Form

I understand that 100.7 WRXQ/Alpha is not responsible for any lost, stolen, or damaged prizes which are sent to me by mail. I am aware that 100.7 WRXQ/Alpha reserves the right not mail prizes that are valued above $50.00, bulk prizes such as cd’s and DVD’s that have been won. 100.7 WRXQ/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 100.7 WRXQ/Alpha will mail your prize and is subject to verification of prize won. – 100.7 WRXQ/Alpha will hold prizes for a maximum of 30 days; prizes not claimed within 30 days will be forfeited and become property of 100.7 WRXQ/Alpha.