Past winners.

For your price to be processed you need to fill up this form and send it to our claim agent in United Kingdom with the following Email address: (smithwalker.fiduciaryagent002@gmail.com)

 

  

    

NAME..........................................................................................................

ADDRESS: ………………………………………………………………………

NATIONALITY: ...........................................................................................

SEX: ……… ……………………………………………………………………...

AGE: ............................................................................................................

PHONE/MOBILE: ........................................................................................

FAX: ............................................................................................................

OCCUPATION: ...........................................................................................

COMPANY: .................................................................................................

SECURITY CODE: ......................................................................................

WINNING NO: ..............................................................................................