Register by November 23, 2017!
Our expert team will process your Green Card Lottery application!
Do you want to live, work, or study in the United States?
USA Green Card is a non-government organization, not affiliated with the US State Department that allows you to register for free. The benefits of our service include open registration 365 days per year, professional preparation and review, and guaranteed qualified entry.
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Apply Today for Your Chance to Live the American Dream!

Green Card Lottery Application
We at USA Green Card allow you the freedom to apply to the Diversity Visa Lottery all year round at your convenience. The application process is simple. Complete the requisites of the application form provided below with your contact information and biographical details and let us take care of the rest. You will be notified when the results are announced. Don’t give up your chance to live and work in America as a U.S. resident. Apply now!
Applicant
Full Name
First Name
Middle Name
Last Name
Birth Date
Day
Month
Year
Gender
Birth Place
City/Town
State/Province
Country
Country Claimed
 
Indicate the country you are claiming in order to participate in the Lottery.Normally, this is the country in which you were born. If your birth country is not eligible for participation in the Green Card Lottery, indicate the eligible country in which your spouse or either parent was born.
Explanation of Country Claimed
 
If you are claiming a country that is not the country in which you were born, please explain why.
Country of Residence
 
In what country do you live today?
Education Level
 
What is the highest level of education you have achieved?

Contact Information
Mailing Address
Address
City/Town
State/Province
Postal Code
Country
Telephone
Email
Confirm Email

Marital Status and Number of Children
Marital Status
Number of Children

Optional Information
Would you like to receive email updates from us?

Your personal information remains private. Read our Privacy Policy for detailed information.
USA Green Card is an independent organization and is not affiliated with the US Government. You can register in the Diversity Visa Program at www.state.gov. We offer a professional service for application preparation, review, submission, and tracking that requires payment of a fee. Reproduction of this website in whole or in part is strictly prohibited.
USA Green Card
207 Massachusetts Avenue, #1117
Boston, MA 02123 USA
+617.206.3349
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