If you would like to enter for our Free Draw for €1,000 Lump Sum Investment, please fill out the form below with your details.

Name Address         Phone Email Address Do you have an SSIA? Yes No SSIA Matures? May 2006 June 2006 July 2006 Aug 2006 Sept 2006 Oct 2006 Nov 2006 Dec 2006 Jan 2007 Feb 2007 Mar 2007 Apr 2007 What type of SSIA have you got Deposit    Equity Who is your SSIA with? What Product information would you like to receive   Lump Sum Regular Savings Pensions Pensions Investment Investment Would you like to receive information on a range of Property Options?   Investment Commercial Overseas What is the maximum contribution to an SSIA Account?   € 10 € 254 € 1,000

Please ensure that you fill as much information as possible as you may not be eligible for the draw otherwise. O'Sullivan McGoldrick reserve the right to exclude any form from the draw.