Postal Cover Sheet

Please fill out the indicated fields below, then click "Print" to generate a hard copy of this Postal Cover Sheet.

To:

EVEREST POKER
ATTN: Account Validation Dept.

Date:

4-8-2010 19:32:15 GMT

Type Full Name:

Account Login Name:

Account Email Address:

File ID:

Authorized Signature:

Please sign your name in this box after printing out the cover sheet

Number of pages including cover:

Contents Checklist:

Copy of government-issued ID

Copy of RIB

Message:

Type your optional message here.