Silver Lotto System Products
Cash Only Mail Form

NOTE: All products are sent to you by email only.
Make sure you enter your email address correctly.
1. PRODUCTS: Tick the box required
US$39.95
Silver Lotto System PDF eBook
US$37

Custom Profile:
Select games from http://www.silverlotto.com/custom.htm
US$79
Lotto-80 - 6 Month Membership PLUS Silver Lotto System
US$47
Lotto-80 - 6 Month Membership
US$94
Lotto-80 - 12 Month Membership
US$129
Lotto-80 - 12 Month Membership PLUS Silver Lotto System
US$89
Winner's Circle - 3 months membership
US$159
Winner's Circle - 6 months membership
US$299
Winner's Circle - 12 months membership

2. DETAILS:

Please note all fields must be typed on this website. Handwrite only if your details do not print out on the form:

First name*

Last name*



Your Email*
Street Address 1*
Street Address 2
City*
State / Province*
Zip Code
Country*
FINAL CHECK
This form is for cash payment in US dollars only. I recommend you register your letter for added security and tracing.
(Note that in over 18 years receiving cash payments by mail, none have been lost or stolen when registered).
3. MAIL TO:

Payment in US Dollars Only
TOTAL ENCLOSED: US$

Print out this form (CTRL + P) and post it with your payment in
US dollars enclosed to:

Ken Silver
PO Box 22-183
Khandallah
Wellington
New Zealand


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