PLEASE NOTE THAT YOU ARE TO SEND THE BELOW INFORMATION REQUIRED TO CLAIM YOUR WINNING PRIZE:
1.Full Name:..............................................................
2.Address:.................................................................
3.Nationality:............................................................
4.Age:.........................Date of Birth:............................
5.Occupation:.............................................................
6.Phone:...............Phone 2:...................Fax:.................
7.State of Origin:......................Country:........................
Sincerely,
Mrs. Maurrine H. Diane
Secretary