Apply for the Green Card Lottery (DV-2011)

The next green card lottery (Diversity Visa Lottery 2010) begins on October 2, 2009 at noon Eastern Standard Time (EST) and ends on November 30, 2009 at noon EST. You can apply FREE online through the US State Department's website.

If you need assistance with your lottery application, we can help you process it. Please use the form below to apply for the DV-2011 green card lottery. Each application made through our offices costs $100 to process. We accept Visa, Mastercard, American Express or a personal check. For more information about this year's lottery, including photo requirements, please see this page.

We respond back to inquiries as soon as we can, usually within several business days. We can help you obtain your visa by sending the documents you will need by email, by fax, or by mail, whichever you prefer. In order for us to reply to your inquiry it is necessary that you respond to all the questions

All personal information you provide below will be kept strictly confidential.

What type of service would you like to obtain?

Are you currently in the United States?
Name of Applicant:
Date of Birth:
Place of Birth (city, country):
Country where the applicant currently resides (if different from birthplace):
Marital Status:
Your Current Address Information:

Full Name
(first, middle, last):


Street Address:



Zip/Country Code:


Phone number:


In the box below, please include information about applicant's children younger than 21 years old whose names are included in the application (Name, Birthdate, Sex, Birth Country, Current Permanent Address):
Information about the applicant's spouse:
Full Name:
Date of Birth:
Place of Birth (city, country):

Please check other topics you may be interested in:

Green Cards
Visa Extensions
Asylum or Refuge

Work Visas
Student Visas
Tourist Visas
Investor Visas

Please include any additional information you think might be relevant to your case:

How would you prefer to be contacted?
(Please choose all that apply):

By email
By fax
By postal mail
By telephone

How did you find our website?


Search Engines
Vidaamericana Magazine
Link from Another Site
LinkExchange Banner
Ad in Miami Herald newspaper
Other Print Advertisement
Word of Mouth

Type of Payment :
Credit card number :
Expiration date (month/day/year):

Thank you for completing all the information on this form. Please click "Submit Form" to proceed. Our form is secure and confidential.