Copy/Paste then fill in information on the application, Then email to MYLOTTOMAN@aol.com SUBJECT:MEMBERSHIP
Name:
Mailing Address:
Email Address:
Date of Birth:
Initial Account($10-$500):......................$
Amount Enclosed:................................$
Your MEMBERSHIP FEE:.....................$ 29.95
TOTAL............................................$
Any sum of money of a large abundance will be mailed to your given address, As a money order or check.
MYLOTTOMAN
