By scanning the QR code and entering my name, email address, age, and state of residence on this form, I have entered in Sapporo Ichiban Review Giveaway at Asian American Expo (the “Promotion”) sponsored by Sanyo Foods Corporation of America (“Sanyo”), a California corporation, the manufacturer of Sapporo Ichiban Japanese Style Ramen Noodles & Flavored Soup (the “Sapporo Ichiban Ramen Noodles”) and understand that I am eligible to win a special tote bag containing 3 packs of the “5-Pack Sapporo Ichiban Ramen Noodles” (the “Prize”), subject to verification of my entry. 

I understand that I am submitting this Eligibility and Release (the “Eligibility and Release”) to assist in determining whether I am eligible to receive the Prize in accordance with the Official Rules of the Promotion (the “Official Rules”).

As of the date I entered the Promotion, I represent that I am 21 years of age or older and a resident of the United States of America.

As of the date I entered the Promotion, I represent that I was not and am not an employee of or a member of the immediate family of an employee of Sanyo.

I represent that I fully complied with the Official Rules, the information I submitted in entering the Promotion is correct, and I have not committed any fraud or other deception in entering the Promotion or claiming my Prize.

As stated in the Official Rules, I agree that I am responsible for paying all federal, state, and local taxes, if applicable, on receipt and acceptance of the Prize.

I hold harmless, release, and discharge, on behalf of myself, and my heirs, executors, and assigns, Sanyo and their respective officers, directors, employees, agents, parent, subsidiaries, affiliates, shareholders, successors, and assigns from any and all claims, demands, lawsuits, expenses, injuries, losses, damages, and any other liability of any kind, of or to me or any other person, my property, or my rights of privacy or publicity, directly or indirectly arising out of or in connection with the Promotion (including the conduct of the Promotion, the award of any prizes, my participation in the Promotion, my acceptance, use, misuse, loss, or damage of or to the Prize or any other prize.

By clicking the [AGREE] button, you hereby agree to the above.  A confirmation code will be generated.  Please take a screenshot and/or save the confirmation code to show to a Sanyo representative.