Thank you for participating in APCA’s MUAM24 raffle!

Release of Liability and Finalist/Winner Acceptance Form for the ARDMS Ultrasound Awareness Month Sweepstakes

Congratulations, you are the winner of the #MUAM2024 raffle! Please complete the form below by November 14, 2024. 

 

MUAM Prize Agreement 2024

If you have a MY APCA account, you may not use this form to update your APCA contact information. If you wish to modify your contact information in our records, please log into your MY APCA account and update your profile.

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  • I understand that I am the winner of the above sweepstakes run by Inteleos, Inc. and I do hereby accept the winner position. I further understand that if I do not return this form completed by no later than 11/14/2024 at 5:00pm EST, my entry will be disqualified, and another winner will be selected. Meals, travel, incidentals, gratuities and all other expenses related to the Prize not specifically mentioned herein are my responsibility. No transfer, change, or cash substitution of Prize is permitted. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Inteleos, Inc. and each of its parents, subsidiaries, directors, officers, officials, agents and/or employees, and the other participants, sponsors, advertisers, and owners (collectively, “RELEASEES”), from any and all claims, demands, losses, and liability that I now have, or hereafter may have, by reason of any matter connected in any way or arising out of the Contest, my participation in the Contest, the awarding of the giveaway Prize(s) or to any loss or damage to the giveaway Prize(s), including but not limited to, any INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OR WILLFUL MISCONDUCT OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I hereby give my consent to Inteleos and any of its agents, contributors, partners, or affiliates of the Contest to use my entry and my name, voice, photograph, or likeness for advertising, publicity, or trade purposes in any and all media worldwide (including a prize winner’s list) without additional compensation or notification. I HAVE READ THIS PRIZE ACCEPTANCE AND RELEASE OF LIABILITY FORM, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
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APCA MUAM24 Raffle Form

Complete this form to enter into the APCA Medical Ultrasound Awareness Month 2024 raffle!

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