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JACKPOT.FRM
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Text File
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1992-02-02
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2KB
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60 lines
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Searchlight Jackpot Lotto Registration Form
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Remit to:
Tim Rossiter
c/o One Andrews Circle
Cleveland, Ohio 44141
YES, I want to register the Jackpot Lotto door program! Enclosed is
Registration of Jackpot Lotto $20.00 $ _____________
(price valid through 05/30/92)
v1.03
Total Enclosed: $ _____________
(U.S. Funds)
NOTE: Upon receipt of your registration, you will be mailed a
confirmation letter which will contain instructions to for
downloading your registered copy from Flip Flop BBS. We DO NOT
mail the program. If you require the program to be mailed to you,
you may place your order through DataComm.
Name: ___________________________________________________________
Cmpy: ___________________________________________________________
Addr: ___________________________________________________________
___________________________________________________________
City: ___________________________ State: _______ Zip: ___________
Voice Phone: ____________________________________________________
BBS Name: _______________________________________________________
BBS Phone: ______________________________________________________
Your Searchlight Reg # (4 digits): ______________________________
(as reported by the "Version" command)
Comments/Suggestions?: __________________________________________
_________________________________________________________________
_________________________________________________________________
Please send Check or Money Order payable to "Tim Rossiter".
ORDERS OUTSIDE THE US: Please send check or money order in
US funds drawn on US bank.