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Text File  |  1996-06-17  |  1KB  |  44 lines
  1.     LottoQuick Texas for Windows 95
  2.         Registration Form
  3.  
  4.  
  5. Enclosed is check or money order for $10 U.S. as License
  6. Fee to register LottoQuick Texas for Windows 95, payable
  7. to Antony C. Freeman.
  8.  
  9. By registering LottoQuick Texas for Windows 95, I acknowledge
  10. that I understand and comply with the License Agreement as
  11. included with LottoQuick Texas for Windows 95.
  12.  
  13. Please register LottoQuick Texas for Windows 95 as follows:
  14.  
  15.  
  16. FIRST & LAST NAME:_________________________________________
  17.  
  18. ADDRESS:___________________________________________________
  19.  
  20. ___________________________________________________________
  21.  
  22. CITY:______________________________________________________
  23.  
  24. STATE:_____________________________________________________
  25.  
  26. ZIP CODE:__________________________________________________
  27.  
  28.  
  29. E-MAIL ADDRESS (optional):_________________________________
  30.  
  31. ===========================================================
  32.  
  33. Comments/Suggestions:______________________________________
  34.  
  35. ___________________________________________________________
  36.  
  37. ___________________________________________________________
  38.  
  39. ___________________________________________________________
  40.  
  41. ___________________________________________________________
  42.  
  43. *** Thank you for supporting the shareware, try-before-you-buy
  44. concept.  Look for LottoQuick for other state lotteries.