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Text File  |  1994-05-01  |  2KB  |  47 lines
  1.                            LOTTO BOOKS ORDER FORM
  2.  
  3.  
  4. NAME:       ____________________________________________________
  5.  
  6. ADDRESS:    ________________________ CITY/TOWN: ________________
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  8. STATE/PROV: __________ ZIP/CODE: _________ COUNTRY: ____________
  9.  
  10. TELEPHONE:  ______________________ 5.25 (360K) __ 3.50 (720K) __
  11.  
  12. AMERICAN EXPRESS ___    MC ___    VISA___ 
  13.  
  14. CARD NUMBER ________________________________________ Exp ___/___
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  16. SIGNATURE: ____________________________ DATE: _____/_____/______
  17.  
  18. QTY           DESCRIPTION                          PRICE   TOTAL
  19. ___ _____________________________________________  _____   _____
  20.  
  21. ___ The Only Way To Win At Lotto book             $39.95  ______
  22.  
  23. ___ Winning Lotto Analysis Secrets book           $12.95  ______
  24.  
  25. ___ Win Million$$ Playing The Lottery             $ 9.95  ______
  26.  
  27. ___ For Experts book                              $ 9.95  ______
  28.  
  29. ___ Introduction To Systems and Strategies book   $ 3.95  ______
  30.  
  31. ___ Pick-5 Lotto book                             $ 4.95  ______
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  33.  
  34.                                                Subtotal:  ______
  35.  
  36.          S&H $3.50 US (1st class), $8.50 overseas (air):  ______
  37.  
  38.                      Florida residents add 6% sales tax:  ______
  39.  
  40.                                                   TOTAL:  ______
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  42.  
  43. Data Solutions, 1529 Thistledown Drive, Brandon, FL 33510-2069
  44. CompuServe: 72356,354               Voice: 800-783-8934
  45. Fax:        813-653-3093                   BBS:   813-653-4034
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