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To Whom It May Concern: The person or entity whose name appears below (“Publisher”) represents and warrants that (1) it did not have any employees or equipment located in the United States (“U.S. Activities”) that were involved in any way with the revenue that has been earned by Publisher pursuant to the Google AdSense Online Program and (2) it does not have any U.S. Activities that are involved in any way with the revenue that is currently earned and/or will be earned by Publisher pursuant to the Google AdSense Online Program. U.S. Activities include, but are not limited to, owning a web server or owning a hosting service in the U.S., or having employees in the U.S. who are involved in either: (1) setting up Publisher’s web server, hosting service, or website (2) developing content for Publisher’s website (3) marketing to create a user base for Publisher’s site (4) telephone support for Publisher’s site (5) buying products for Publisher’s site (6) maintaining Publisher’s site A duly authorized representative of Publisher has executed this document as of the date written below. _____________________________ Signature of Publisher _____________________________ Title of Signatory (if applicable) _____________________________ Name of Publisher

_______________ Date

The person or entity whose name appears below (“Publisher”)

currently earned and/or will be earned by Publisher pursuant to the Google AdSense. Online Program. U.S. Activities include, but are not limited to, owning a web server or owning a hosting service in the U.S., or having employees in the U.S. who are involved in either: (1) setting up Publisher's web server, hosting service, ...

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