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Text File  |  1994-05-01  |  3KB  |  102 lines
  1.        REGISTRATION FORM FOR WINDOWS LOTTO V1.1
  2.  
  3.  
  4. NAME:_______________________________________________________
  5.  
  6. ADDRESS:________________________ CITY/TOWN: ________________
  7.  
  8. STATE/PROV:___________ ZIP/CODE: _________ COUNTRY: ________
  9.  
  10. DISK SIZE: 3 1/2" 1.4MB ______
  11.  
  12. TELEPHONE:____________________          MC ___ VISA___ AMEX ___
  13.  
  14. CREDIT CARD NUMBER _________________________ Expires ___/___
  15.  
  16. SIGNATURE: ________________________ DATE: _____/_____/______
  17.  
  18. WHERE DID YOU GET YOUR EVALUATION COPY ? ___________________
  19.  
  20.  
  21. QTY           DESCRIPTION                      PRICE   TOTAL
  22. ___ _________________________________________  _____   _____
  23.  
  24.     Latest version of WINDOWS LOTTO, printed
  25.     User's manual and up-to-date drawing
  26.     files for all US and Canadian lotteries. 
  27.     Also includes a FREE 3 month subscription 
  28. ___ to The Lotto Player's BBS.                $35.95  ______
  29.  
  30.  
  31. S&H $3.50 US (1st class), $8.50 overseas (air)        ______
  32.      
  33.  
  34.                        SUBTOTAL:  ______
  35.  
  36.          Florida residents add 6% sales tax:  ______
  37.  
  38.                           TOTAL:  ______
  39.  
  40.  
  41. Data Solutions, 1529 Thistledown Drive, Brandon, FL 33510-2069
  42.  
  43. CompuServe: 72356,354                Voice: 800-783-8934
  44. Fax:        813-653-3093           BBS:   813-653-4034
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  46.  
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  54.  
  55.  
  56.  
  57.             LOTTO BOOKS ORDER FORM
  58.  
  59.  
  60. NAME:       ____________________________________________________
  61.  
  62. ADDRESS:    ________________________ CITY/TOWN: ________________
  63.  
  64. STATE/PROV: __________ ZIP/CODE: _________ COUNTRY: ____________
  65.  
  66. TELEPHONE:  ______________________ 5.25 (360K) __ 3.50 (720K) __
  67.  
  68. AMERICAN EXPRESS ___    MC ___    VISA___ 
  69.  
  70. CARD NUMBER ________________________________________ Exp ___/___
  71.  
  72. SIGNATURE: ____________________________ DATE: _____/_____/______
  73.  
  74. QTY           DESCRIPTION                          PRICE   TOTAL
  75. ___ _____________________________________________  _____   _____
  76.  
  77. ___ The Only Way To Win At Lotto book             $39.95  ______
  78.  
  79. ___ Winning Lotto Analysis Secrets book           $12.95  ______
  80.  
  81. ___ Win Million$$ Playing The Lottery             $ 9.95  ______
  82.  
  83. ___ For Experts book                              $ 9.95  ______
  84.  
  85. ___ Introduction To Systems and Strategies book   $ 3.95  ______
  86.  
  87. ___ Pick-5 Lotto book                             $ 4.95  ______
  88.  
  89.                                                Subtotal:  ______
  90.  
  91.          S&H $3.50 US (1st class), $8.50 overseas (air):  ______
  92.  
  93.                      Florida residents add 6% sales tax:  ______
  94.  
  95.                                                   TOTAL:  ______
  96.  
  97.  
  98. Data Solutions, 1529 Thistledown Drive, Brandon, FL 33510-2069
  99. CompuServe: 72356,354               Voice: 800-783-8934
  100. Fax:        813-653-3093                      BBS:   813-653-4034
  101.  
  102.