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Text File  |  1994-05-28  |  1KB  |  62 lines

  1.                                 Lotto Thunder 1.3
  2.                      Copyright (C) 1994 By Charles P. Staats
  3.                                All rights reserved
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  6.                                 Registration Form
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  9.       Name:          ______________________________________
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  11.       Address:       ______________________________________
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  13.                      ______________________________________
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  15.       City:          ______________________________________
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  17.       State:         __________________________ Zip: ______
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  19.       Telephone:     ______________________________________
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  21.       Computer:      ______________________________________
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  29.       Preferred Disk Size:    3.5"(720k) ______   5.25"(360k) ______
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  34.                  Payment in U.S. funds drawn on a U.S. bank only
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  37.      Mail Completed Form with $20.00 check/money order in U.S. dollars to:
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  42.                               Charles P. Staats
  43.                                 P.O. Box 29151
  44.                          Brooklyn Center, MN. 55429
  45.                                    U.S.A
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