CONSENT TO JOIN THE OMEGAPRO ACTION NIGERIA.
By completing this form I am confirming my consent to be part of the efforts of the Omegapro Action Nigeria class through the Taskforce elected by omegapro Nigeria investors, and their professional representatives, to use any and all legal means necessary to help me recover my investment in Omegapro Company.
Name
*
First Name
Last Name
My Omegapro Username:
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Social Media Profiles (please provide the ones you have!)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
When I joined the omegapro (year and month, if known):
-
Year
-
Month
Day
Date
My Sponsor / Marketer:
What is the Total Number of Different Omegapro Accounts and sub accounts you have either for yourself or in trust for proxies. (Total number of individual accounts only. Not amounts in them please) ONLY
Total Amount I Invested:
IMPORTANT NOTE FOR COMPLETING THE CONSENT FORM FOR THOSE WITH MORE THAN ONE OMEGAPRO ACCOUNT
Put register the names and usernames for them so they are registered individually if they are real people, OR if it’s just you and the other names don’t actually exist, simply register yourself and put GRAND TOTAL for all your investments for now and attach some proof to show you are an investor. We don’t need all amount proofs for now At right time all breakdown details of other accounts and amounts may be needed for proof but not now. Right now we need individuals who are verifiable in case any organization wants to dispute if they are real or not.
Name of Black Diamond in my upline (if known):
Proof I am an Omegapro investor (validate your claim as investor by uploading any proof that shows you invested in omegapro like receipt of payment; Backoffice screenshot; Email to you as investor etc)NOTE: Proof for now does not have to be for all your investment. Just to prove you invested something:
Browse Files
Cancel
of
Save
Submit
By submitting this form I am authorizing the Omegapro Action Nigeria Task Force and any attorney or professional that may be engaged by the Taskforce to represent my interest as a member of the Omegapro Action Nigeria class action against owners of omegapro , agents, promoters, influencers and representatives in interest
Should be Empty: