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DV2004 Green Card Lottery
Registration Period:
2nd Jan 2002 - 27th Oct 2002




 

 

 

Registration for Referral Program


Register with us to start earning cash!

Once your registration is approved, your unique referral identification number (Ref. ID) will be emailed to you. You will be able to start earning money then!

Please provide your personal details below for our approval. Approval process will take around a week.

Once approved, you will be automatically added to our referrers' mailing list. You need to be on our mailing list to keep up to date with the latest green card lottery news.

* compulsory fields

Please fill in your particulars:

Note: We will be using the details you provide below when mailing cheques to you. Please ensure they are filled in correctly.

Name:*


(cheques will be issued to you using this name,
therefore please use your real name)

Mailing Address (Line 1):*
Mailing Address (Line 2):
Mailing Address (Line 3):
City:*
State/Province:*
Country:*
ZIP/Postal Code:*
Contact Phone No.:*
Contact E-mail:*

(email is our main method of contacting you if any payment issues arises, therefore use an email account that you check regularly.)
   

Note:

Protecting your privacy is our TOP PRIORITY.

We will not divulge your personal details to any 3rd parties without your permission.

 

 

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