In the box below, please send the following information
the THE SAME DAY AS YOU SEND YOUR PAY-PAL
PAYMENT:
1. your name as it appears on your credit card
2. The full name as you want to appear on your Claim
3. The date of birth of the person named on the Claim
4. The name of the Sea or Lake of your choice
5. The claim size, that is: 10 acres, 3 acres, or 1 acre
6. The COMPLETE mailing address where to send the Claim
Registration Certificate