LIVE - STUDY - WORK - IN THE USA

2/5/2012

American Green Card Lottery

Registerstration Form

Last Name (Family Name/Surname)
First Name
Middle Name
DATE OF BIRTH	Day Month Year
PLACE OF BIRTH
City/Town
District/County/ Province
Country
NATIVE COUNTRY IF DIFFERENT FROM COUNTRY OF BIRTH

FULL NAME AND DATE OF BIRTH AND CITY & COUNTRY OF BIRTH OF SPOUSE AND CHILDREN:
Spouse
Child #1
Child #2
Child #3
Child #4
(E-mail us the information about any additional children.)

FULL MAILING ADDRESS
Name
City
District/State/Province
Postal Code
Country
PHONE (Optional)
EMAIL ADDRESS (Optional)

Step #1 - When all of your Entry Form information above is correct, click on the "Submit Information" button below. Step #2 - Email us the required digital photo files. Complete instructions on how to prepare your digital photos and how to email them to us are on our web page Instructions green card lottery. Step #3 - Mail the service fee to our address listed below. We will review your electronic entry form and digital photos after receiving our service fee.


OUR MAILING ADDRESS:	OUR SERVICE FEE:
American Green Card Lottery PMB 378 7925A North Oracle Road Tucson, AZ 85704 USA	$50 for 1 electronic entry into the Lottery, or $100 for 2 online entries when a husband and wife submit separate entries and email us digital passport-type photos.

Please Note: Any and all information contained throughout this web site is not intended to be legal advice and should not be taken as such. The American Green Card us is not affiliated with any governmental agency.

There is no charge to enter the Green Card Lottery, but we do charge a fee for our services. American Green Card Lottery is pleased to assist you with your entry into the next Green Card Lottery DV-2011.