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Text File  |  1993-05-15  |  3KB  |  82 lines

  1.                     ORDER FORM
  2.                       [D014]
  3.  
  4.     ColorVision Computing                      Order: (800) 242-4775
  5.     271 Shakespeare Dr.                        Info:  (713) 524-6394
  6.     Waterloo, Ont.                             Fax:   (713) 524-6398
  7.     N2L 2T8
  8.     ________________________________________________________________
  9.                         
  10.                              Price  No.   Amount
  11.     
  12.     LottoProf (latest version) ..................49.95  ___  _______
  13.  
  14.     One lottery of your choice ..................Free!  ___    Free!
  15.  
  16.     Additional Lotteries ........................ 5.00  ___  _______
  17.  
  18.                               Subtotal $ _______
  19.                    
  20.                         7% GST (Canada only) _______
  21.  
  22.                        8% PST (Ontario only) _______
  23.  
  24.     [Canada-$5.00, US-$7.50, Intern.-$15.00]        Shipping _______
  25.  
  26.                              Total $ _______
  27.  
  28.  
  29.     Disk Format: 5 1/4" [ ]
  30.              3 1/2" [ ]
  31.     
  32.  
  33.        Name: _______________________________________________________
  34.                                 
  35.     Address: _______________________________________________________
  36.  
  37.          _______________________________________________________
  38.  
  39.        City: ______________________   State/Province: ______________
  40.  
  41.     Country: ______________________   Postal Code: _________________
  42.  
  43.  
  44.     Check [ ]    Money Order [ ]
  45.  
  46.     Credit Card: Visa [ ]   MasterCard [ ]   Discover [ ]   Amex [ ]
  47.  
  48.     Credit Card #: _______________________   Expiry Date: __________
  49.  
  50.  
  51.     Lottery you have included bet slips for: _______________________
  52.  
  53.     Where did you get this copy of LottoProf? ______________________
  54.  
  55.  
  56.     LOTTERIES AVAILABLE:
  57.  
  58.     Arizona 5/35            Iowa 6/39                  New York 6/54
  59.     Arizona 6/42            Ireland 6/36               Ohio 5/37
  60.     Australia 6/45          Kansas 6/33                Ohio 6/47         
  61.     Austria 6/45            Kentucky 5/35              Oneida Nation 6/36
  62.     BC Pogo 6/39            Kentucky 6/49              Oregon 6/44       
  63.     California 5/39         Lottario 6/45              Pennsylvania 5/39 
  64.     California 6/51         Louisiana 6/44             Pennsylvania 6/48 
  65.     Canadian 6/49           Maryland 5/39              Rhode Island 5/40 
  66.     Colorado 6/42           Maryland 6/49              Spain 6/49        
  67.     Connecticut 5/35        Massachusetts 5/35         Switzerland 6/45  
  68.     Connecticut 6/44        Massachusetts 6/42         Texas 6/50        
  69.     DC 6/39                 Massachusetts 6/49         Tri-State 5/35    
  70.     Delaware 6/36           Michigan 5/39              Tri-State 6/40    
  71.     Florida 5/39            Michigan 6/47              Vermont 6/30      
  72.     Florida 6/49            Minnesota 5/39             Virginia 6/44     
  73.     France 6/49             Missouri 5/42              Washington 6/49   
  74.     Germany 6/49            Missouri 6/48              West Virginia 6/25
  75.     Idaho 5/32              Montana 5/37               Wisconsin 6/36    
  76.     Illinois 5/35           New Hampshire 6/36         Wisconson 6/49    
  77.     Illinois 6/54           New Jersey 5/38           
  78.     Indiana 6/44            New Jersey 6/46   
  79.     Iowa 5/35               New York 5/39     
  80.     
  81.  
  82.