7/31/2016

CERTIFIED WINNER CLAIM FORM

English||Espaol||Franais||Norsk||Portugus||PortugusdoBrasil||||Suomi||Svenska

PlasmaNetInc.
P.O.BOX4562,
NEWYORK,NY10163

Respondby:July31st,2016

201312

CERTIFIEDWINNERCLAIMFORM
Samsung65"3DLEDSmartTV

Usetheformbelowtoclaimyourprize.Youarea
guaranteedwinnerofoneoftheprizeslistedtotheleft.

DellInspironLaptopComputer
Authorizedby:

AppleiPadMini
$50.00SkyAuctionSavingsCertificate

CodeNo.PSN20121205

SectionA:GrandPrizeValueDisclosure
Youhavebeendirectedtothisprizeclaimformbecauseyouareaverifiedandconfirmedwinnerof
oneoftheprizeslistedabove.TheGrandPrizevalueis:

$3,500.00

SectionB:ClaimInformation
Note:Youareaguaranteedwinnerofoneoftheprizeslistedabove.Fillouttheformbelowtoclaim
yourprize.

Failuretocompletethisforminitsentiretymayresultinforfeitureofyourprize.
aFirstName

bLastName

maria carmina

cAddress1

Escudero

dAddress2

eCity

34B university tower, 728 pedro gil corner, dr vasquez st. malate manila

fPostalCode
1004

gRegion

manila

hCountry
Philippines

manila

YourprizenotificationandFreeLottoentryconfirmations,dailyresultsandsponsoredadvertisingmessageswill
besentbyemailonlyfromFreeLotto:
iEmail
mariacarmina.escudero.wat2016@gmail.com

jConfirmEmail
mariacarmina.escudero.wat2016@gmail.com

Thisconfirmationiscontingentuponmeetingtheageandresidencyrequirement.Theseprizesarebeing
offeredbyFreeLotto.comaspartofaworldwidepublicitycampaign.Offerisvalidforalimitedtime.
http://www.freelotto.com/register.asp?skin=CertiedWinnerRSP&noepu=1&partner=1066990&afliateid=&tid=18925331331469937826&utm_source=Adcash&utm

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7/31/2016

CERTIFIED WINNER CLAIM FORM

CLAIM NOW
ByclickingonCLAIMNOWabove,IacknowledgethatIhavereadtheOfficialRules,SweepstakesRules
andFreeLottoPrivacyPolicyandagreetobeboundbythem.

WhyarewegivingawaytheseAMAZINGPRIZES?
Aspartofaworldwidepublicitycampaign,we'regivingawayaFREEawardvaluedupto$3,500.00.ThisisNOTajoke!By
enteringthissweepstakesyouwillalsohavejoinedFreeLotto.com.Withdailyopportunitiestowinover$11,000,000.00,
FreeLottoistheultimatedestinationforwinningfreemoneyonline!Since1999,FreeLottohasawardedOVER
$104,000,000.00,created26millionaires,andYOUCOULDBENEXT.Thisisalimitedtimeoffersoactfastandactnow.
Afteryou'veprocessedyourclaimyou'llbenotifiedofexactlywhatyourprizeisandwewillarrangedeliverytoyou.Thisis
totallyfree,weevenpaytheshipping.Butyou'vegottoactfast.
Bestofall,afteryouprocessyourclaimyouwillhavejoinedFreeLottowhereyou'llgetafreechanceatwinningover$11
millionindailyprizes.We'vealreadyawardedover$104millioninprizes,andyoucanbecomeournextmillionaire!
ThispromotionissponsoredbyFreeLottoandisnotassociatedwithanyoftheabovelistedbrands.Theabovelisted
trademarksarethepropertyoftheirrespectiveowners.ThispromotionisinnowayaffiliatedwithSamsung,Dell,Apple,or
SkyAuction.Nopurchaseisnecessarytoenter.
Copyright19992016PlasmaNet,Inc.Allrightsreserved.Reproductioninwholeorinpartinanyformormediumwithouttheexpress
writtenpermissionofPlasmaNet,Inc.isprohibited.PlasmaNet,Inc.,www.freelotto.com,theiragenciesandadvertisersarenot
responsibleforanyincorrectorinaccurateinformationorformatting,whethercausedbyinternetusersorbyanyoftheequipment,
programmingorsoftwareassociatedwithorutilizedinconnectionwiththeSweepstakes.Voidwhereprohibited.PlasmaNet,Inc.isnot
responsibleforanyerrorsoromissions.
PlasmaNetInc.POBox4562,GrandCentralStation,NewYork,NY10163,USA.

http://www.freelotto.com/register.asp?skin=CertiedWinnerRSP&noepu=1&partner=1066990&afliateid=&tid=18925331331469937826&utm_source=Adcash&utm

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