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PLASMANET, INC.
PlasmaNet, Inc. PO Box 4562
New York, NY 10163
  PRIZE DISBURSEMENT DEPT.
CERTIFIED WINNER CLAIM FORM
USE THE FORM BELOW TO CLAIM YOUR PRIZE
  SECTION A) YOU ARE A GUARANTEED WINNER OF ONE OF THE PRIZES LISTED BELOW. Respond by: September 1st, 2014
$29,900.00 IN CASH
Samsung 65" 3D LED Smart TV
Apple iPad Mini
$50.00 SkyAuction Savings Certificate

  SECTION B) You have been directed to this prize claim form because you are a verified and confirmed winner of one of the prizes listed above. The Grand Prize value is:  
    $29,900.00  

  SECTION C) Fill out the form below to claim your prize. Failure to complete this form in its entirety may result in forfeiture of your prize.  
   
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Your prize notification and FreeLotto entry confirmations, daily results and sponsored advertising messages will be sent by e-mail only from FreeLotto:
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    This confirmation is contingent upon meeting the age and residency requirement. These prizes are being offered by FreeLotto.com as part of a worldwide publicity campaign. Offer is valid for a limited time.  
    By clicking on “CLAIM NOW” above, I acknowledge that I have read the Official Rules, Sweepstakes Rules and FreeLotto Privacy Policy and agree to be bound by them.  
   
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Why are we giving away these amazing prizes?

As part of a worldwide publicity campaign, we're giving away a FREE award valued up to $29,900.00. This is NOT a joke! By entering this sweepstakes you will also have joined FreeLotto.com. With daily opportunities to win over $11,000,000.00, FreeLotto is the ultimate destination for winning free money online! Since 1999, FreeLotto has awarded OVER $100,000,000.00, created 25 millionaires, and YOU COULD BE NEXT. This is a limited time offer so act fast and act now.

After you've processed your claim you'll be notified of exactly what your prize is and we will arrange delivery to you. This is totally free, we even pay the shipping. But you've got to act fast.

Best of all, after you process your claim you will have joined FreeLotto® - where you'll get a free chance at winning over $11 million in daily prizes. We've already awarded over $100 million in prizes, and you can become our next millionaire!

This promotion is sponsored by FreeLotto® and is not associated with any of the above listed brands. The above listed trademarks are the property of their respective owners. This promotion is in no way affiliated with Samsung, Dell, Apple or Sky Auction. No purchase is necessary to enter.

Copyright © 1999-2014 PlasmaNet, Inc. All rights reserved. Reproduction in whole or in part in any form or medium without the express written permission of PlasmaNet, Inc. is prohibited. PlasmaNet, Inc., www.freelotto.com, their agencies and advertisers are not responsible for any incorrect or inaccurate information or formatting, whether caused by internet users or by any of the equipment, programming or software associated with or utilized in connection with the Sweepstakes. Void where prohibited. PlasmaNet, Inc. is not responsible for any errors or omissions.

PlasmaNet, Inc. PO Box 4562, Grand Central Station, New York, NY 10163.