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orderfrm.doc
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1993-01-04
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676b
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26 lines
ORDER FORM
----------
To receive a registered copy of Video Keno, please send this
completed form along with cash, check, or money order(U.S. Funds) for $7.50
per copy to:
James R. Christie, Jr.
16018 Frederick Plaza
Omaha, NE 68130
U.S.A.
Please check desired disk size: 3.5"_____ 5.25"_____
Your name:__________________________________________________________
Street Address:_____________________________________________________
City:____________________________
State:___________
Zip Code:___________________