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                           Account Form
 

Share Price: $8 / share    Date/Time of Trading: 4/20/2008 6:38:06 PM
Note: You will receive the current share value at the time your account is processed. 

Print and complete the form below.


Indicate: ____New Account      ____ Buying additional shares
 Investment                                                                                 
Amount to invest  =                                                                       
    Processing fee  = $15.00  (non refundable)
  Amount Enclosed =_______   
New Shareholder Information                                                      
               Name:___________________________________________
            Address:___________________________________________
                  city:_________________ state: ________Zip:_________   
  Phone Number:__________________________________
   email address:__________________________________ (required)
Select a password for your account. Use name or numbers you can remember. After establishing your account, you will be able to view it from our website at: www.LottoStockMarket.com using your email address and password.
Account Password:_______________ (Required) Make a name of 10 or less characters/digits
Service Agreement. Very important. Be sure to read carefully. 
I have read and accepted the terms and conditions associated with LottoStockMarket.
                                                                                                     
 
Sign:___________________date____________                                                 
 

Enclose check or money order and mail this form to:                 
    Click here for contact information
For office use only                                                                       
                              Amount invested  share value    Shares                            
    Amount invested:_____________ / _________  = __________                
                                                                                                                           
 

 

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