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Text File  |  1996-10-19  |  893b  |  27 lines
  1.                Cash3 Lotto SOFTWARE REGISTRATION APPLICATION
  2.        
  3.   MAIL to: Steven W. Lucey
  4.            Cash3 Lotto Door Software
  5.            6413 Greenview Drive
  6.            Louisville, KY 40216
  7.  
  8.  (1)>  FIRST and LAST NAME _______________________________________________
  9.  
  10.        ADDRESS             _______________________________________________
  11.  
  12.        CITY, STATE, ZIP    _________________________   ____    ___________
  13.  
  14.        VOICE/BBS PHONE #   _________________________/_____________________
  15.  
  16.  (1)>  YOUR BBS NAME       _______________________________________________
  17.  
  18.        Password for pre-registration on OUR BBS __________________________
  19.  
  20. ---------------------------------------------------------------------
  21.  
  22. Lotto Subscription v3.5............$10.00
  23.  
  24.                            
  25.               TOTAL Enclosed__________(U.S. FUNDS ONLY !!!!)
  26.  
  27.