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Posted to bugs@xml.apache.org by silver hassan <in...@gmail.com> on 2007/04/27 15:21:13 UTC

Fill your CANADA FAST MONEY DRAW FORM.

                                         CANADA
                         [image: Flag of Canada]
                      FAST MONEY DRAW
                             FORM


 This form will enable you to participate in the monthly
draw.Allinformations contained in this form, will help the result
department to
cantact you easly and quickly.Fill it in black ink or black
print.Submitthrough the
Email.Upload your passport on your form before submiting.

                                       Date:          */*            */*









                                          Passport photograph
                                              *        *


*    *
**
**
**
*    Title.*Mr/Mrs/Ms /Miss* *
  *Name: *

*Ocuppation:*
  *Address:*  *Date of birth: *  *City: *  *Zip: *  *State: *  *Country: *
*Phone:*  *Fax:*  *E-Mail: *  *Specify*
  *your level of draw:*



*     *
*             *           *                                      * *

*
*    **

*




*                     *                Print a copy of your filled form
before submission.Make sure that the informations
                         contained in this form are correct.

                          Your draw slip will be Emailed to you by *Scotia
Bank of Canada*, few hours after submission.

[image: Canadian Flag]

We wish you the best
    of luck.
*   *
*                                     *Submit at
submitfastmoneydrawform@gmail.com