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FORM.TXT
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1987-12-09
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785b
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31 lines
Registration Form
Send to: MicroMedia, 9633 41st S.W.
Seattle, WA 98136
YES, I want to be a registered user of the LottoPro
and be placed on the preferred customer list
for all future MicroMedia releases!
I am enclosing $29.95 Please send me the latest
version of LottoPro. Check, Money Order, Visa or
Mastercard. (MCard/Visa # _______________________
Expiration Date: __________)
Name ______________________________________________
Address: __________________________________________
City: __________________________________________
State: __________ Zip Code ___________________
Phone Number: ______________________________________
Computer Name ______________________________________