Fill The Claim Form

63 W 227th St

New York, NY 10034

USA

This is to inform you that our office as the regional Coordinator of Bitcoin lottery zoned under the United state  Branch has been duly notified of your winning. I am Dennis Walters the fiduciary agent assigned to your case.

I wish to congratulate you on your winning this year's cash prize award totaling $1,500,000 usd  (One Million Five Hundred Thousand Dollars Only) and also wish to let you know that all you have to do now is to follow my instructions carefully and your prize will be with you within the next 4 days.

Your email address was among those chosen during the promo program from our new Java-based software that randomly selects email addresses from the web from which winners are selected. You may be surprised that you received the Notification without applying for our lottery promo.

Please note that this lottery is sponsored by the BITCOIN LOTTERY COMPANY as their social welfare to the individuals in areas where they have operational base. The lottery was conducted electronically by selecting over 100,000 email addresses from where your email emerged winner of this year cash prize award. You are required to forward the following details to help process your winner's Certificate, which will facilitate the release of your $1,500,000usd (One Million Five Hundred Thousand Dollars Only) to you.

Make sure all information is correct to the best of your knowledge to avoid termination of your prize.

1. First Name:

2. Middle Name:

3. Last Name:

4.. Sex:

5. Age:

6. Address:

7. City:

8. Occupation:

9. Home Phone Number:

10. Mobile Phone Number:

11. Fax Number:

12. Country:

Return immediately so that we can process your file and have your money transferred to you. Please remember that all you have to do now is to follow my instructions carefully and your prize will be with you within the next 4 working days.

Once again, Congratulations! And may God continue to bless you.