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

       

                               

 

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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

 

 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@divorce-bankruptcy.com  with questions or comments about this web site.
Copyright 2001 The Divorce & Bankrutpcy Center
Last modified: 11/22/10