Missing Kickstarter Reward Claim Form and Legal Attestation

First name (required)

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Required Kickstarter campaign Email

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(Required for Shipping)

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Note to Shipper

LEVITATING DICE SETS ↓

Quantity

(List Only What's missing)

Willing to accept another color, if inventory falls short

FULL DICE SET (no base, just dice) ↓

Quantity

(List Only What's missing)

Willing to accept another color, if inventory falls short

LEVITATING DICE With Single D20 ↓

Quantity

(List Only What's missing)

Willing to accept another color, if inventory falls short

Single LEVITATING Dice (a d4,d6,d8,d10,d%,d12 or d20) ↓

Quantity

(List Only What's missing)

Willing to accept another color, if inventory falls short

Nameplates

By Completing this form, I hereby attest and affirm the following:

Truthfulness: All information and statements provided by me, whether written or verbal, are true, accurate, and complete to the best of my knowledge and belief. I have not knowingly made any false, misleading, or fraudulent representations.
Disclosure: I have disclosed all relevant facts, data, and information that are material to the matter at hand. I have not intentionally withheld or concealed any information that could be relevant or important.
Compliance: I have acted in full compliance with all applicable laws, regulations, and ethical standards. My conduct has been professional, responsible, and in the best interests of all parties involved.
Integrity: I have maintained the highest standards of integrity throughout my interactions and dealings. I have not engaged in any unlawful, unethical, or improper activities.
Cooperation: I have cooperated fully and in good faith with all relevant authorities, parties, and stakeholders. I have provided timely, responsive, and transparent information as requested.
Commitment: I am committed to continuing to act with honesty, transparency, and integrity in all future dealings and proceedings. I understand the importance of maintaining trust and credibility.

I understand that this attestation is made under penalty of perjury and that any false, misleading, or fraudulent statements may have serious legal consequences. I hereby affirm that the contents of this attestation are true and correct to the best of my knowledge and belief.

Signature

I understand that this attestation is made under penalty of perjury, and that any false, misleading, or fraudulent statements may have serious legal consequences. I hereby affirm that the contents of this attestation are true and correct to the best of my knowledge and belief.

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