312-857-3571
Country: USA
312 area code:
Illinois (Chicago)
Report a phone call from 312-857-3571 and help to identify who and why is calling from this number.
- Thrill| 7 repliesYep, back again:
My name is Steven Fedorchuk I am the owner of the apartment at 24 Dunham Place #2C, Brooklyn NY 11249. The monthly rent is $970, security is $600. Presently, i am in Canada working as the Vice-President, Customer Care Centre & Direct Sales at ATB Financial, Calgary, Canada. I can come down to show you the apartment if i am convinced that you are serious. The initial plan was to sell the apartment. which we tried, but the Realtor inflated the prize hence taking more time to sell, because of this reason, we need a responsible person that will take very good care of the apartment. Most importantly ,a serious and trust worthy person who will be willing to pay the rent without delay.
Note; the move-in cost is the total amount of 2 months rent and a security deposit. As a very busy person I would only take my time to fly down to the US for you to preview the apartment, only if you accept to pay the above move-in cost after seeing the apartment.
FURNITURE : Apartment is fully furnished but if you are moving in with your furniture there is a storage room in the unit where you could keep our furniture.
Call me on 3128573571 for more update.
THE LEASE IS FLEXIBLE (3 MONTHS) (6MONTHS) (1YEAR) (2YEARS)
Get back to me with the following if you are still interested.
Applicant Name:
Number of Adults:
Number of Children:
Profession:
Number of Pets:
Home/Cell Phone & Work Phone:
Current Landlord Name:
Phone:
Address for Last one Year:
Date of Birth:
Person to Notify in Emergency:
Relationship with this person:
Address of this person:
Phone number:
I look forward to hearing from you.
Regards,
Steven.
Call me on 3128573571. - Dumb A$$First Email:
My name is Steven Fedorchuk I am the owner of the apartment at 2053 Wilson Lane, East Meadow NY 11554. The monthly rent is $960, security is $600. Presently, i am in Canada working as the Vice-President, Customer Care Centre & Direct Sales at ATB Financial, Calgary, Canada. I can come down to show you the apartment if i am convinced that you are serious. The initial plan was to sell the apartment. which we tried, but the Realtor inflated the prize hence taking more time to sell, because of this reason, we need a responsible person that will take very good care of the apartment. Most importantly ,a serious and trust worthy person who will be willing to pay the rent without delay.
Note; the move-in cost is the total amount of 2 months rent and a security deposit. As a very busy person I would only take my time to fly down to the US for you to preview the apartment, only if you accept to pay the above move-in cost after seeing the apartment.
FURNITURE : Apartment is fully furnished but if you are moving in with your furniture there is a storage room in the unit where you could keep our furniture.
Call me on 3128573571 for more update.
THE LEASE IS FLEXIBLE (3 MONTHS) (6MONTHS) (1YEAR) (2YEARS)
Get back to me with the following if you are still interested.
Applicant Name:
Number of Adults:
Number of Children:
Profession:
Number of Pets:
Home/Cell Phone & Work Phone:
Current Landlord Name:
Phone:
Address for Last one Year:
Date of Birth:
Person to Notify in Emergency:
Relationship with this person:
Address of this person:
Phone number:
I look forward to hearing from you.
Regards,
Steven.
Call me on 3128573571.
I and my wife have seriously thought about flying down from Canada to handle the transaction. We concluded that if you are really serious and have the money for the rent as you have mentioned, then for us to confirm that..
PLEASE READ THIS PARAGRAPH CAREFULLY
What we request of you is to look for a friend, neighbor, brother or sister of yours that you trust, and send the 2 months and security deposit to him or her through Western union or money gram and email a copy of the receipt for confirmation.This will give us a proof that you have the money as you claim.I WILL THEN COME DOWN TO THE USA WITH THE KEYS AND RENTAL DOCUMENTATION TO CLOSE THE DEAL. As soon as I arrive New York i will show you the apartment and sign the lease, after which You and the person that you sent the money to can easily walk down to the Western union or money gram store to pick up the cash and pay me. However, If in any case you do not like the apartment, then what you do is go back to where the money was sent from and cancel the transaction and your money will be refunded to you. But I know that you are going to love the apartment once you set your eye on it.
BASED ON THE Western union or money gram process Your safety is secured, Since the only person that have access to the money at any point in time is you and the person you sent the money to. We have been using Western union/money gram for a while now to send money to John our son and it is secured and has always worked perfectly for us. I have traveled once from Canada to USA, only for it to be a wasted journey, ticket fee and business absence. Because of these number of unserious people who like to waste other people's time, we are strongly recommending the Western union or money gram process to ensure it doesn't happen again, I hope you understand the situation here and our worries ?
I will be waiting to here from you.
Thanks and God bless
Regards,
Steven. - Unsuspecting| 3 repliesI found "stevens" ad on craigslist, too good to be true. he got my personal info : (, but no money. I called the cops, they didnt seem too interested, "...we can not stop people from giving this guy money" was their response. This guy is horrible, how does he sleep at night?
- JP replies to Same Scam different NameBe sure to check to see who the owner is on each of this clowns properties that he lists.....You will find out that he is not the owner of any. This guy is a scammer......Stay away from him.....
- Keisha Allen| 1 replyI was Scammed on an Apt on 44 Broad St, Plattsburgh Ny
- Caller: Steven Fedorchek
- Lizz replies to Keisha AllenWe were too. If you have information, go to the City PD. We started an investigation.
- MPI got the same response from a Craigslist ad, except he is now using the name Edward Straw. I knew this was a fraud immediately, but it did confuse me because I looked up Edward Straw, and he is a real person who works at ATB. See below the email I received:
My name is Edward Straw, I am the owner of the apartment at 212 East 47th Street #34C, New York NY 10017. The monthly rent is $840,security is the same as rent $840.Presently, i am in Canada working as the Vice President, Strategic Business Solutions at ATB Financial , Calgary, Canada. I can come down to show you the apartment if i am convinced that you are serious. The initial plan was to sell the apartment. which we tried, but the Realtor inflated the prize hence taking more time to sell, because of this reason, we need a responsible person that will take very good care of the apartment. Most importantly ,a serious and trust worthy person who will be willing to pay the rent without delay.
Note; the move-in cost is the total amount of 2 months rent and a security deposit. As a very busy person I would only take my time to fly down to the US for you to preview the apartment, only if you accept to pay the above move-in cost after seeing the apartment.
FURNITURE : Apartment is fully furnished but if you are moving in with your furniture there is a storage room in the unit where you could keep our furniture.
Call me on 3128573571 for more update.
THE LEASE IS FLEXIBLE (3 MONTHS) (6MONTHS) (1YEAR) (2YEARS)
Get back to me with the following if you are still interested.
Applicant Name:
Number of Adults:
Number of Children:
Profession:
Number of Pets:
Home/Cell Phone & Work Phone:
Current Landlord Name:
Phone:
Address for Last one Year:
Date of Birth:
Person to Notify in Emergency
Relationship with this person:
Address of this person:
Phone number:
I look forward to hearing from you.
Regards,
Edward.
3128573571 - Kristianweve have been dealing with this guy since march 26th 2012. figured it was a scam but the apt were in now is horrendous and we really wanted this new apt from this Steven Fedorchuk to better our living situation for our 3 month old. we even told this steven guy the same thing. but we also told him we didnt want to do the western union thing. already been scammed once before so we sent him a pic of all the money that is needed & he proceeded to tell me he doesnt want a pic of our money it has no use to him. april 1st 2012 i talked to western union and they said there is NO possible way any 3rd party can get the money. so i transferred the money to my husband. and had a feelin i should cancel the transaction and take my money. all i needed at the time was to email him a pic of the receipt that i transferred the money, when i sent the pic to his fone and email i blackened out the MTCN so that he didnt have it. well i had my husband go on westernunion.com and we were able to track the transaction by using my cell number. steven tried to say western union wont allow him to do that. so i sent him a pic of my copy and he said that for some reason he couldnt open the file. so i manually texted the mtcn to him. every hr or so we would track the money to see if it was picked up and it wasnt. he said that his flight agent set up his flight for wednesday. we felt like we could really trust this dude.Today April 2nd 2012 my husband goes to work and i would periodically check western union to make sure the money was there. my husband got off work at 12:30pm checked WU and it was still in there. we went outside to start packin the extra vehicles up with our stuff. around 2:30-3pm we got on WU and it said our transaction was picked up!!! WTF?! so i called WU got ahold of a real person and i was able to pin point where the transaction was picked up at and wat time... Brooklyn NY at 2:19pm. so i made a fraud report and theyre suppose to be doin an investigation..i doubt it tho. but as soon as i got off the fone wit them i looked up this number 3128573571 on a website and that number is from Cook, IL. we went to the police station and filed a report there and gave them every text, email, and our evidence. so watch out!!
- Kristianthis was wat we got..
Re: $510 / 2br - Don
Show Details
My name is Steven Fedorchuk I am the owner of the apartment at 49 McDonald Street, Glens Falls NY 12801. The monthly rent is $510, security is $500. Presently, i am in Canada working as the Vice-President, Customer Care Centre & Direct Sales at ATB Financial, Calgary, Canada. I can come down to show you the apartment if i am convinced that you are serious. The initial plan was to sell the apartment. which we tried, but the Realtor inflated the prize hence taking more time to sell, because of this reason, we need a responsible person that will take very good care of the apartment. Most importantly ,a serious and trust worthy person who will be willing to pay the rent without delay.
Note; the move-in cost is the total amount of 2 months rent and a security deposit. As a very busy person I would only take my time to fly down to the US for you to preview the apartment, only if you accept to pay the above move-in cost after seeing the apartment.
FURNITURE : Apartment is fully furnished but if you are moving in with your furniture there is a storage room in the unit where you could keep our furniture.
Call me on 3128573571 for more update.
THE LEASE IS FLEXIBLE (3 MONTHS) (6MONTHS) (1YEAR) (2YEARS)
Get back to me with the following if you are still interested.
Applicant Name:
Number of Adults:
Number of Children:
Profession:
Number of Pets:
Home/Cell Phone & Work Phone:
Current Landlord Name:
Phone:
Address for Last one Year:
Date of Birth:
Person to Notify in Emergency:
Relationship with this person:
Address of this person:
Phone number:
I look forward to hearing from you.
Regards,
Steven.
Call me on 3128573571. - StephanieThank you all so much for your warnings! Does anyone know if Steven Fedorchuk is a real person and if he knows his name is being used for this fraud? Is there anything else I can do to warn others or get this guy arrested?
This is the email that I received from the email address greatunion2012@yahoo.com:
My name is Steven Fedorchuk I am the owner of the apartment at 152 Tier Street #202A, Bronx NY 10464. The monthly rent is $900, security is $600. Presently, i am in Canada working as the Vice-President, Customer Care Centre & Direct Sales at ATB Financial, Calgary, Canada. I can come down to show you the apartment if i am convinced that you are serious. The initial plan was to sell the apartment. which we tried, but the Realtor inflated the prize hence taking more time to sell, because of this reason, we need a responsible person that will take very good care of the apartment. Most importantly ,a serious and trust worthy person who will be willing to pay the rent without delay.
Note; the move-in cost is the total amount of 2 months rent and a security deposit. As a very busy person I would only take my time to fly down to the US for you to preview the apartment, only if you accept to pay the above move-in cost after seeing the apartment.
FURNITURE : Apartment is fully furnished but if you are moving in with your furniture there is a storage room in the unit where you could keep our furniture.
Call me on 3128573571 for more update.
THE LEASE IS FLEXIBLE (3 MONTHS) (6MONTHS) (1YEAR) (2YEARS)
Get back to me with the following if you are still interested.
Applicant Name:
Number of Adults:
Number of Children:
Profession:
Number of Pets:
Home/Cell Phone & Work Phone:
Current Landlord Name:
Phone:
Address for Last one Year:
Date of Birth:
Person to Notify in Emergency:
Relationship with this person:
Address of this person:
Phone number:
I look forward to hearing from you.
Regards,
Steven.
Call me on 3128573571. - HoneybunnyThis is unreal! Me friend and I were looking for a place to stay during graduate school and I came across this apartment that sounded great. I emailed the guy and he got back to me fairly quickly. We've been exchanging info (mostly what he asked for and I also mentioned a few things about my education). I even drove up to the place he had listed which seemed pretty legit: Here are some of the emails:
My name is Steven Fedorchuk I am the owner of the apartment at 429 N Franklin Street #409, Syracuse NY 13204. The monthly rent is $580, security is $500. Presently, i am in Canada working as the Vice-President, Customer Care Centre & Direct Sales at ATB Financial, Calgary, Canada. I can come down to show you the apartment if i am convinced that you are serious. The initial plan was to sell the apartment. which we tried, but the Realtor inflated the prize hence taking more time to sell, because of this reason, we need a responsible person that will take very good care of the apartment. Most importantly ,a serious and trust worthy person who will be willing to pay the rent without delay.
Note; the move-in cost is the total amount of 2 months rent and a security deposit. As a very busy person I would only take my time to fly down to the US for you to preview the apartment, only if you accept to pay the above move-in cost after seeing the apartment.
FURNITURE : Apartment is fully furnished but if you are moving in with your furniture there is a storage room in the unit where you could keep our furniture.
Call me on 3128573571 for more update.
THE LEASE IS FLEXIBLE (3 MONTHS) (6MONTHS) (1YEAR) (2YEARS)
Get back to me with the following if you are still interested.
Applicant Name:
Number of Adults:
Number of Children:
Profession:
Number of Pets:
Home/Cell Phone & Work Phone:
Current Landlord Name:
Phone:
Address for Last one Year:
Date of Birth:
Person to Notify in Emergency:
Relationship with this person:
Address of this person:
Phone number:
I look forward to hearing from you.
Regards,
Steven.
Call me on 3128573571.
We highly appreciate the high level of seriousness on the apartment. Because of this, we have decided to rent the apartment to you with out asking any further questions. My wife was very excited that you are going to become our first tenant. The utilities are included in the rent.
I want to be sure you have the money at hand before flying down to the US , like i mentioned in my previous email, I am a very busy man and will like to be sure before taking the risk.
TO AVOID MULTIPLE CANDIDATE: We will remove the ad from www.craigslist.org
As soon as I hear from you I will let you know my flight schedule.
Regards and God bless.
Steven.
Yes all utilities are included in the rent. There is a parking. Get back to me with the information i requested from you, so that we can take it up from there.
I and my wife have seriously thought about flying down from Canada to handle the transaction. We concluded that if you are really serious and have the money for the rent as you have mentioned, then for us to confirm that..
PLEASE READ THIS PARAGRAPH CAREFULLY
What we request of you is to look for a friend, neighbor, brother or sister of yours that you trust, and send the 2 months and security deposit to him or her through Western union or money gram and email a copy of the receipt for confirmation.This will give us a proof that you have the money as you claim.I WILL THEN COME DOWN TO THE USA WITH THE KEYS AND RENTAL DOCUMENTATION TO CLOSE THE DEAL. As soon as I arrive New York i will show you the apartment and sign the lease, after which You and the person that you sent the money to can easily walk down to the Western union or money gram store to pick up the cash and pay me. However, If in any case you do not like the apartment, then what you do is go back to where the money was sent from and cancel the transaction and your money will be refunded to you. But I know that you are going to love the apartment once you set your eye on it.
BASED ON THE Western union or money gram process Your safety is secured, Since the only person that have access to the money at any point in time is you and the person you sent the money to. We have been using Western union/money gram for a while now to send money to John our son and it is secured and has always worked perfectly for us. I have traveled once from Canada to USA, only for it to be a wasted journey, ticket fee and business absence. Because of these number of unserious people who like to waste other people's time, we are strongly recommending the Western union or money gram process to ensure it doesn't happen again, I hope you understand the situation here and our worries ?
I will be waiting to here from you.
Thanks and God bless
Regards,
Steven.
His email is highlanders2012@yahoo.com. I did some research and googled his name a few times and found the real Steven Fedorchuk. I don't know how to get in contact with him though. I'm glad I didn't let up with suspicions though and found this site. He would've gotten $1660 from me. Hopefully he can't do anything with the personal info I gave him. - too good to be true...the jerkHes Edward Straw now..
My name is Edward Straw, I am the owner of the apartment at 4140 Union Street #17C, Flushing NY 11355. The monthly rent is $850,security is the same as rent $850.Presently, i am in Canada working as the Vice President, Strategic Business Solutions at ATB Financial , Calgary, Canada. I can come down to show you the apartment if i am convinced that you are serious. The initial plan was to sell the apartment. which we tried, but the Realtor inflated the prize hence taking more time to sell, because of this reason, we need a responsible person that will take very good care of the apartment. Most importantly ,a serious and trust worthy person who will be willing to pay the rent without delay.
Note; the move-in cost is the total amount of 2 months rent and a security deposit. As a very busy person I would only take my time to fly down to the US for you to preview the apartment, only if you accept to pay the above move-in cost after seeing the apartment.
FURNITURE : Apartment is fully furnished but if you are moving in with your furniture there is a storage room in the unit where you could keep our furniture.
Call me on 3128573571 for more update.
THE LEASE IS FLEXIBLE (3 MONTHS) (6MONTHS) (1YEAR) (2YEARS)
Get back to me with the following if you are still interested.
Applicant Name:
Number of Adults:
Number of Children:
Profession:
Number of Pets:
Home/Cell Phone & Work Phone:
Current Landlord Name:
Phone:
Address for Last one Year:
Date of Birth:
Person to Notify in Emergency
Relationship with this person:
Address of this person:
Phone number:
I look forward to hearing from you.
Regards,
Edward.
3128573571. - KellyThis guy is posting again on Craigslist for a property on Iris Ave in Binghamton NY. Same phone number and using Steven Fedorchuk's name. He did get my personal info, but no money.
- auditor replies to ThrillI used to audit that building actually how ironic he's def not the unit owner
- iftikharMy name is Steven Fedorchuk I am the owner of the apartment at 75 Essex Drive #4A, Staten Island NY 10314. The monthly rent is $940, security is $600. Presently, i am in Canada working as the Vice-President, Customer Care Centre & Direct Sales at ATB Financial, Calgary, Canada. I can come down to show you the apartment if i am convinced that you are serious. The initial plan was to sell the apartment. which we tried, but the Realtor inflated the prize hence taking more time to sell, because of this reason, we need a responsible person that will take very good care of the apartment. Most importantly ,a serious and trust worthy person who will be willing to pay the rent without delay.
Note; the move-in cost is the total amount of 2 months rent and a security deposit. As a very busy person I would only take my time to fly down to the US for you to preview the apartment, only if you accept to pay the above move-in cost after seeing the apartment.
FURNITURE : Apartment is fully furnished but if you are moving in with your furniture there is a storage room in the unit where you could keep our furniture.
Call me on 3128573571 for more update.
THE LEASE IS FLEXIBLE (3 MONTHS) (6MONTHS) (1YEAR) (2YEARS)
Get back to me with the following if you are still interested.
Applicant Name:
Number of Adults:
Number of Children:
Profession:
Number of Pets:
Home/Cell Phone & Work Phone:
Current Landlord Name:
Phone:
Address for Last one Year:
Date of Birth:
Person to Notify in Emergency:
Relationship with this person:
Address of this person:
Phone number:
I look forward to hearing from you.
Regards,
Steven.
Call me on 3128573571. - almost got me| 1 replyHe almost got me but I was smarter than him,,and I did my search,,Thank God i found all this information...I talked to him and he told me to contact Sandra Peterson at 515 994 0279 because he was to busy to come to NY...I called her and she told me to make a $600 deposit thru western union so she can come from Oregon to NY to show me the apt...what a scam... his using this email greatunion2012@yahoo.com
My name is Steven Fedorchuk I am the owner of the apartment at 531 West 235th Street #BF, Bronx NY 10463. The monthly rent is $960, security is $600. Presently, i am in Canada working as the Vice-President, Customer Care Centre & Direct Sales at ATB Financial, Calgary, Canada. I can come down to show you the apartment if i am convinced that you are serious. The initial plan was to sell the apartment. which we tried, but the Realtor inflated the prize hence taking more time to sell, because of this reason, we need a responsible person that will take very good care of the apartment. Most importantly ,a serious and trust worthy person who will be willing to pay the rent without delay.
Note; the move-in cost is the total amount of 2 months rent and a security deposit. As a very busy person I would only take my time to fly down to the US for you to preview the apartment, only if you accept to pay the above move-in cost after seeing the apartment.
FURNITURE : Apartment is fully furnished but if you are moving in with your furniture there is a storage room in the unit where you could keep our furniture.
Call me on 3128573571 for more update.
THE LEASE IS FLEXIBLE (3 MONTHS) (6MONTHS) (1YEAR) (2YEARS)
Get back to me with the following if you are still interested.
Applicant Name:
Number of Adults:
Number of Children:
Profession:
Number of Pets:
Home/Cell Phone & Work Phone:
Current Landlord Name:
Phone:
Address for Last one Year:
Date of Birth:
Person to Notify in Emergency:
Relationship with this person:
Address of this person:
Phone number:
I look forward to hearing from you.
Regards,
Steven.
Call me on 3128573571 - ucherianghe claims his name is edward straw and is the vice president, strategic business solutions at atb financial in canada. he gives out a 312 phone number and requests for payment before any sort of physical confirmation that he owns the house he is trying to lease. he might even give a female counterpart's 708 number as "caregiver". this is a lie. the person i spoke with is asian. not in the oriental region. more like bengali (from bangladesh). the phone numbers are both from illinois. i believe it is a widely expanded scam. almost like a business, without the product, mannerism, and ethics of course.
- Caller: ad on craigslist
- ucheriang replies to almost got mei have gotten that same email from a different name. the female's name was the same although the number was an illinois number. email addresses are different. they are targeting the people in that company. i got an edward straw from atb financial. also vice president. these people are idiots. i got one with an accents. unfortunately for them, i am asian. i saw the picture of the person they were trying to portray. it would have been very unlikely that that man, with that job, in based in canada would have been able to keep such a strong accent and manner of speaking. piss poor effort on the theives' part.
- JaclynI saw this same guy on Craigslist. I'm glad I googled him and his number before going further on the apartment. The low price did seem too good to be true. This time his name was Edward Straw. Here is the message he sent me:
My name is Edward Straw, I am the owner of the apartment at 518 North Newbridge Road, Levittown NY 11756. The monthly rent is $1050,security is $500.Presently, i am in Canada working as the Vice President, Strategic Business Solutions at ATB Financial , Calgary, Canada. I can come down to show you the apartment if i am convinced that you are serious. The initial plan was to sell the apartment. which we tried, but the Realtor inflated the prize hence taking more time to sell, because of this reason, we need a responsible person that will take very good care of the apartment. Most importantly ,a serious and trust worthy person who will be willing to pay the rent without delay.
Note; the move-in cost is the total amount of 2 months rent and a security deposit. As a very busy person I would only take my time to fly down to the US for you to preview the apartment, only if you accept to pay the above move-in cost after seeing the apartment.
FURNITURE : Apartment is fully furnished but if you are moving in with your furniture there is a storage room in the unit where you could keep our furniture.
Call me on 3128573571 for more update.
THE LEASE IS FLEXIBLE (3 MONTHS) (6MONTHS) (1YEAR) (2YEARS)
Get back to me with the following if you are still interested.
Applicant Name:
Number of Adults:
Number of Children:
Profession:
Number of Pets:
Home/Cell Phone & Work Phone:
Current Landlord Name:
Phone:
Address for Last one Year:
Date of Birth:
Person to Notify in Emergency
Relationship with this person:
Address of this person:
Phone number:
I look forward to hearing from you.
Regards,
Edward.
3128573571 - odunbarThe email i got sounds exactly like the one posted above! Tom Keen is now Edward Straw!
"My name is Edward Straw, I am the owner of the apartment at 935 Armory Drive, Utica NY 13501. The monthly rent is $590,security is the same as rent $590.Presently, i am in Canada working as the Vice President, Strategic Business Solutions at ATB Financial , Calgary, Canada. I can come down to show you the apartment if i am convinced that you are serious. The initial plan was to sell the apartment. which we tried, but the Realtor inflated the prize hence taking more time to sell, because of this reason, we need a responsible person that will take very good care of the apartment. Most importantly ,a serious and trust worthy person who will be willing to pay the rent without delay.
Note; the move-in cost is the total amount of 2 months rent and a security deposit. As a very busy person I would only take my time to fly down to the US for you to preview the apartment, only if you accept to pay the above move-in cost after seeing the apartment.
FURNITURE : Apartment is fully furnished but if you are moving in with your furniture there is a storage room in the unit where you could keep our furniture.
Call me on 3128573571 for more update.
THE LEASE IS FLEXIBLE (3 MONTHS) (6MONTHS) (1YEAR) (2YEARS)
Get back to me with the following if you are still interested.
Applicant Name:
Number of Adults:
Number of Children:
Profession:
Number of Pets:
Home/Cell Phone & Work Phone:
Current Landlord Name:
Phone:
Address for Last one Year:
Date of Birth:
Person to Notify in Emergency
Relationship with this person:
Address of this person:
Phone number:
I look forward to hearing from you.
Regards,
Edward.
3128573571"
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