HERE IS YOUR CHANCE TO WIN A TRIP TO INDIA, UK OR USA.FILL THIS FORM AND SUBMIT FOR DRAWING TODAY. YOU WILL BE INFORMED BY REGULAR MAIL / TELEPHONE # WHICH YOU PROVIDE. UNCLAIMED PRIZE WILL BE GIVEN TO NEXT PERSON
Name:
EMail:
ID :
Q 1 : PLEASE GIVE US YOUR EXACT MAILING ADDRESS AND HOME ADDRESS
Q 2 : PLEASE GIVE US YOU TELEPHONE NUMBER AND EMAIL ADDRESS
Q 3 : WHICH PLACE YOU WILL PREFER TO GO IF YOU ARE SELECTED AS WINNER . ANY OTHER PLACE CHOICE MAY OR MAY NOT GIVEN DEPENDING ON FUNDS AVAILABLE.
INDIA
UNITED KINGDOM
UNITED STATES
ANY OTHER PLACE
Q 4 : FOR TAX PURPOSE WHAT IS YOUR TAX ID# OR SOCIAL SECURITY # AND MOTHERS MAIDEN NAME ?
Q 5 : WHAT IS YOUR CURRENT HOUSEHOLD INCOME PER YEAR ?
BELOW -$20,000
$20,001-$40,000
$40,001-$80,000
ABOVE $80001
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Q 7 : WILL YOU RECOMMEND THIS SCHEME AND PAGE TO YOUR FRIENDS ?
YES
NO
NOT SURE
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