Lotto Number Combinations Order Form
Print this form first (if for some reason you can't, a handwritten copy is acceptable!) then fill it out!
Date ____________
Yes, please send me your Lotto 649 number combinations right away!
Please find enclosed my certified check or money order for Cdn$ ________ (based on your order selection!) made out to the order of Aqua Enterprises.
First name. _______________________
Last name. _______________________
City. _______________________
Country. _______________________
E-mail. _______________________
Please check mark your order selection below:
I agree that the key is to play consistently for my best chance of winning and that the packages below represent the best value at less than 13 cents per ticket combo! So send me :
__ Package #1. - 10 Ticket Combos for 6 months - $ 59.00
__ Package #2 - 15 Ticket Combos for 6 months - $ 89.00
__ Package #3. - 22 Ticket Combos for 6 months - $119.00
__ Package #4. - 42 Ticket Combos for 6 months - $239.00
I understand that you will start e-mailing me my selections as soon as you receive this order.
___ Yes, I have ordered within 48 hours of first seeing this offer! Therefore I also receive as a bonus, 10 ticket combinations free, over and above my order!
I declare that I have read and do agree with the following disclaimer statement.
DISCLAIMER
I understand that with any Lottery it is virtually impossible to predict winning numbers and practically impossible to cover all possible combinations. There is no guarantee espressed or implied that with the use of these number combinations, winning tickets will be produced. The user of these number combinations assumes sole liability, risk and responsibility for any losses, monetary or otherwise.which may occur or be perceived to have occured as a result of the use of these numbers. Aqua Enterprises, Earnforever.com and/or any of it's officers, directors, employees, agents and third parties shall not be liable for any costs or losses, material or perceived, by the use of these number combinations.
Signature: ___________________________
____ Yes, I was referred by ________ __________ (a client of yours)
Their email address is: ___________________
NOTE: You can only win if you play and you increase your chances dramatically by playing as many combinations as consistently as possible. Think of all the money you've wasted over the years playing random numbers, relying entirely on chance!
Please mail or courier this form (along with enclosed payment) to:
Aqua Enterprises
6 Folcroft Ave, Unit 11, Scarborough, Ontario, Canada. M1N - 1K8.
