I am a crook

 

Please give me your name: ________________________

 

Social Security Number: __________________________

 

Address: _______________________________________

 

City, Prov/State: _________________________________

 

Postal Code / Zip : _______________________________

 

Telephone Number : ______________________________

 

Date of Birth : ___________________________________

 

Sex: (yes or no) : _________________________________

 

VISA # 1 : ______________________________________

VISA # 2 : ______________________________________

 

MasterCard # 1: __________________________________

MasterCard # 2: __________________________________

 

While we are at it, please add your:

 

 American Express : _______________________________

 

Drivers Licence No. : _______________________________

 

Your PayPal email account : _________________________

 

Your PayPal Password: _____________________________

 

Your eBay User ID : ________________________________

 

Your eBay Password : _______________________________

 

Bank Account Informastion:

 

Name and Address of your bank: _______________________

 

Checking Account Number: ____________________________

 

(and my favourite) Your online banking password (!): ________

 

Thank you.