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 Register & order vouchers & ticket id´s

FREE TESLA ROADSTER
 

Please fill out completly to make sure we can contact you!

Order as many raffleticket-IDs as you like (but please also pay them!). At this time you can even chose your ID numbers as we handle everything "by hand". Tell us your favorite ticket ID between 1-11500 ! Shortly the system will be switched and IDs will be given automatically!

Member-ID & Ticket-ID & paymentoptions will be emailed within a few hours!

Please check your spam folder (in case you don´t find a confirmation)!

MID- Member ID (if already existing!)

  First name & Last name                                      
  Street                                                           
  ZIP (City Code)                                                                 
  City                                                                  
  Country                                                                

  Email   >>> Email correct?
 Telephone / Mobilephone incl country code (alternative)
  Fax (alternative)
  SKYPE Messenger (alternative)
  YAHOO Messenger (alternative)

Favorite numbers (if not available we give you the nearest possible number):
 
  Amount of raffletickets
(1.voucher incl MID & ticketID 25 EUR (+- 37 US$)! Additionals are 20 EUR (+- 30 US$)!)
 
Let us know what payment you prefer. It helps us to proceed quicker!
 
 
Everything is correct?
 
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