HEADQUARTERS

British Lottery Headquarters:
Customer Service
28 TANFIELD ROAD,
CROYDON.LONDON

16-12-05

ATTN:WINNER IN XANGA WEB PUBLISHER LOTTERY U.K BRANCH OFFICE

Dear Winner,

This form is valid for only those who have won the XANGA WEB PUBLISHER & BRITISH LOTTERY INTERNATIONAL. Fill in the required fields in the space provided below. No field should be left blank, because your particulars are needed for record purposes.

This company have Received your confirmations of your winning numbers and have been processing your files and will immediately inform you on the requirement and mandatory steps which are stationary for you to claim your total Lump sum Prize of $2,500,000.00 accordingly.

We are to guide you through the steps for you to claim your prize.

Your certificate of winning has been release and registered with your winning numbers, Firstly you are to fill your redeemer form and return before we can give you the certifcate of winning.

There After we will provide to you the courier company contact which is afiliated to the Alexanga & British national Lottery and incharge of documents delivery and cheque delivery to the holding payment bank from the bank after signing release approval before cheque will be despatched to winners.

We are to release the certificate of winning to you when you have return your filled redeemer claim form so that we can give you the courier company contact to start documents and cheque depatched. You are advise to act accordinly to redeem your prize as there is a guarantee placed on your claim Process which is under the british government laws.

CLAIMS REDEEMER PROCESSING FORM

Congratulations once again from all the staff here.In order to verify your winnings,we need your particulars for record purposes.Attached here is a copy of our verifications form,please fill accordingly so as to proceed with your winnings.

NOTE : IT IS REQUIRED YOU CLICK THE REPLY BUTTON BEFORE FILLING OUT THIS FORM, AS ALL INPUTED DATA MAY BE LOST UPON OUR RECEPTION. IN THE EVENT THAT YOUR BROWSER SETTING DOES NOT SUPPORT THIS PROGRAM e.g html program, YOU ARE TO SEND THE REQUIRED DATA IN PLAIN TEXT FORMAT.

Please fill in the appropriate information in the space below:

WINNER'S CLAIM FORM

WINNER'S PERSONAL DATA

First Name.: *

Middle Name.:

Last Name.: *

Gender.:

Month Of Birth.:

Day:

Year:

Marital Status.:

Nationality.: *

Religion.:

Occupation.:

Address 1.: *

Address 2.:

City.: *

State/Province.: *

Zip Code.: *

Mobile phone No.: *

House Phone No.: *

Fax No.:

Email Address.: * eg. username@domainname.com

WINNING INFORMATION

Batch Number.: *

Serial Number.: *

Refrence Number.: *

This is to verify that the information filled in this FORM is a valid particulars of me. Yes: No:

Upon reciept of the duly requested data,i`ll send you the contact information of the courier office so you can proceed with effecting the release of your claim in anyway you deem fit.

You are also to inform my office of correspondence with the courier delivery person. so as for this office to keep records of your claims for reference purposes.

On behalf of Members and staff of this company i wish you Sucess, best of luck and our excelent servies to you.

    Best Regards,

    Mr DAVID KOOPER

    +44 703 *** ****

    Fiduciary Agent,
    Xanga Web & British lottery Headquater.

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