Green Card Lottery

South Florida's largest document company.

The Divorce & Bankruptcy Center

Call for a free consultation 954-946-4774

Allan J. Weltman

Family Mediator, Florida Supreme Court Certified County Mediator, Florida Supreme Court Qualified Arbitrator

Green Card Lottery.....

The easiest and quickest way to enter the Green Card Lottery. Just fill in the application below. We will send you an official "Green Card Application From " by mail. You will need to sign and mail this card back to us. We will need a picture for each person on the application and your check, money order, credit card number in the amount of $50.00 dollars. The Divorce & Bankruptcy Center is not a law firm, and cannot provide you with legal advice regarding immigration.

DV-2004 Application

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Applicant

First Name Middle Name

Last Name Date of Birth

Birth Place County

Country Claimed

Spouse

First Name Middle Name

Last Name Date of Birth

Birth Place County

County Claimed

Child One

First Name Middle Name

Last Name Date of Birth

Birth Place County

County Claimed

Child Two

First Name Middle Name

Last Name Date of Birth

Birth Place County

County Claimed

Contact Information

Address City

State Zip Telephone

E-Mail Address

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Send mail to aweltman@bellsouth.net with questions or comments about this web site. Copyright © 2001 The Divorce & Bankrutpcy Center Last modified: 03/16/08

Send mail to aweltman@bellsouth.net with questions or comments about this web site.
Copyright © 2001 The Divorce & Bankrutpcy Center
Last modified: 03/16/08