CLAIM VERIFICATION FORM
PLEASE FIND THE CLAIM FORM PASTED AND ATTACHED BELOW.
Please note that the numbers are inside the email you received from the lottery coordinator and if you can not find the winning numbers just send us the copy of the email you receive and filled the rest part of the form that requires your full name and address.
Congratulations from our members of staff. We are EUROMILLION LOTTERY AGENCY,
You don't have to purchase a ticket to enter this lottery, your email indicating you as a winner of €1,000, 000.00 (One MillionEuros)in the lottery programs held byDutch Humanitarian Association Of Charity
Foundations/Euromillion Lottery was received.
The information was passed to you by the Lottery Coordinator to ensure that they are in contact with the rightful owner of the winning e-mail and web-site addresses.
We write to explain and clarify the mode and chronologies of the services we render to our clients of lottery claim related issues. Firstly, our ultimate concern is that our clients get their winning prizes as quickly as possible.
Your winning prize is covered by HIGH INSURANCE POLICY PREMIUM, in accordance with Article 342 of the World Gaming Board as amended in the 1996 Constitution.
Therefore thewinning sumwill be accorded to you as the bonafide owner of the email address that came up as the winning email of the year.
This is to protect the prime winner and miss-Appropriation of funds.
Be assured that, in line with our principles of efficiency, transparency and customers` satisfaction, we handle all verification exercises with the highest level of professionalism and discretion to ensure that our clients receive their prizes within the shortest possible time.
For more information, please contact the under-signed directly on
+31-634672649when calling from Europe, or 01131-634672649when calling from the United States .
N.B Please find bellow the pasted claim application form, you are advice to use the pasted claim form bellow and ignore the attached claim application form if you are having problem down loading the attach form, filled in the necessary info and send it back via fax, regular e-mail or attachment and upon receipt, we shall forward it to the verification centre for further scrutiny and verification purposes.
Please down load the claim form in the attachment or use the pasted form bellow if your PC does not have Microsoft office program and if you are having problem downloading the attachment form, you canjust write down the requested information and send back to this office via regular
EURO MILLION CLAIM CENTRE
BINNEHAVENWEG 8, 5211 AA
LELYSTAD, THE NETHERLANDS
TEL: +31-634-672-649FAX: +31-847-519-960
Your application for the claim of lottery winning prize will be duly process and settlement be made upon certification. Hence, carefully fill in the appropriate information in the space provided below to facilitate our immediate commencement of your claim processing.
WINNING SUM: In Words _______________In Figures:_______________
Marital Status_____________ Sex: ___________Age: _______________
Given Names:__________________Family Name______________________
City/States: ____________________ Country: ________________________________
Winning Email Address: __________________________________________________
Fax: _________________Mobile:________________Home Phone:________________
PROFESSION: _____________________marital status: _________________________
Lottery Ref Nr: ____________________Batch Nr: ___________________________
Ticket Nr ______________Award Serial Nr:: _____________
SIGNATURE: ___________________ DATE: _____________________