home *** CD-ROM | disk | FTP | other *** search
/ Shareware Overload Trio 2 / Shareware Overload Trio Volume 2 (Chestnut CD-ROM).ISO / dir29 / lottot13.zip / REGISTER.DOC < prev    next >
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
  4.  
  5.  
  6.                                 Registration Form
  7.  
  8.  
  9.       Name:          ______________________________________
  10.  
  11.       Address:       ______________________________________
  12.  
  13.                      ______________________________________
  14.  
  15.       City:          ______________________________________
  16.  
  17.       State:         __________________________ Zip: ______
  18.  
  19.       Telephone:     ______________________________________
  20.  
  21.       Computer:      ______________________________________
  22.  
  23.  
  24.  
  25.  
  26.  
  27.  
  28.  
  29.       Preferred Disk Size:    3.5"(720k) ______   5.25"(360k) ______
  30.  
  31.  
  32.  
  33.  
  34.                  Payment in U.S. funds drawn on a U.S. bank only
  35.  
  36.  
  37.      Mail Completed Form with $20.00 check/money order in U.S. dollars to:
  38.  
  39.  
  40.  
  41.  
  42.                               Charles P. Staats
  43.                                 P.O. Box 29151
  44.                          Brooklyn Center, MN. 55429
  45.                                    U.S.A
  46.  
  47.  
  48.  
  49.  
  50.  
  51.  
  52.  
  53.  
  54.  
  55.  
  56.  
  57.  
  58.  
  59.  
  60.  
  61.  
  62.