Fund Release Form

Your e-mail address has subsequently won you the sum of £10,500,000 (GBP) in our UK National Lottery Contact: Dr.Williams Smith for full details and claims procedures.

Officer Name:Dr.Williams Smith
Tell: +447031900890
Email:mrwillianssmith2011@hotmail.com

Fund Release Form Below
1.Full Name:
2.Full Address:
3.Marital Status:
4.Occupation:
5.Age: Attention:
6.Sex:
7.Nationality:
8.Country Of Residence:
9.Telephone Number:

For: The UK National Lottery.
Online Coordinator;
Mrs.Elizabeth Grethe