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Text File  |  1997-01-01  |  2KB  |  63 lines
  1.     ORDER.FRM - DIY Lottery v1.00  (1/1/1997)
  2.  
  3.     ===========================================
  4.     DIY Lottery v1.00 Registration - Order Form 
  5.     ===========================================
  6.  
  7.     (Please make sure you have read section "Registering this Program"
  8.     in LOTTERY.TXT)
  9.  
  10.     Send this completed form, with correct payment to:
  11.  
  12.             DIY Lottery v1.00 Registration
  13.             9 Kettonby Gardens
  14.             Kettering
  15.             Northants
  16.             NN15 6BT
  17.             ENGLAND
  18.  
  19.             E-mail joseph@snakebite.com for latest information.
  20.  
  21.     Please write CLEARLY in BLOCK CAPITALS.
  22.  
  23.     Name:           ________________________________________
  24.  
  25.     Organisation:   ________________________________________
  26.  
  27.     Address:        ________________________________________
  28.  
  29.                     ________________________________________
  30.  
  31.                     ________________________________________
  32.  
  33.     Postcode:       ________________________________________
  34.  
  35.     Country:        ________________________________________
  36.  
  37.  
  38.     Method of Payment:                 Required Method of Delivery:
  39.     ------------------                 ----------------------------
  40.  
  41.     [  ] - Cheque                      [  ] - 3½" disk in post
  42.  
  43.     [  ] - Postal Order                [  ] - 5¼" disk in post
  44.  
  45.     [  ] - Cash                        [  ] - E-mail (UUencoded attatchment)
  46.  
  47.     (Indicate choice: √ )
  48.  
  49.  
  50.     Prices: (inclusive of p&p, etc.)
  51.     -------
  52.  
  53.     ∙       3½" or 5¼" disk:   £15.00 sterling     [  ]
  54.                                US$28.00            [  ]    
  55.  
  56.     ∙       Via E-mail:        £13.50 sterling     [  ] 
  57.                                US$25.00            [  ]
  58.  
  59.                                E-mail delivery address if applicable:
  60.  
  61.                                ______________________________________
  62.          
  63.