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Shareware Game Pak For Windows.iso
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register.frm
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Text File
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1992-08-31
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2KB
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49 lines
REGISTRATION FORM FOR WINDOWS LOTTO V1.0
NAME:_______________________________________________________
ADDRESS:________________________ CITY/TOWN: ________________
STATE/PROV:___________ ZIP/CODE: _________ COUNTRY: ________
TELEPHONE:____________________ 5.25 (360K) __ 3.50 (720K) __
MC ___ VISA___ NUMBER ______________________ Expires ___/___
SIGNATURE: ________________________ DATE: _____/_____/______
WHERE DID YOU GET YOUR EVALUATION COPY ? ___________________
LOTTERY DATA FILE (ONE FREE): ______________________________
ADDITIONAL DATA FILES ($10.00 EACH): _______________________
QTY DESCRIPTION PRICE TOTAL
___ _________________________________________ _____ _____
BASIC: latest version of WINDOWS LOTTO,
data file, bonus utility, newsletter,
upgrade notices, telephone support,
___ CIS/Shareware Mag. offers $35.95 ______
GRAND: additionally includes a Printed
___ Manual and a coupon for 1 free upgrade $45.95 ______
___ Additional data files $10.00 ______
_____________________________________________
S&H BASIC: $2.50 US (1st class), $6 overseas (air)
GRAND: $3.50 US (1st class), $8 overseas (air) ______
SUBTOTAL: ______
Florida residents add 6% sales tax: ______
TOTAL: ______
Data Solutions, 1529 Thistledown Drive, Brandon, FL 33510
CompuServe: 72356,354 Telephone:800-783-8934 or 813-653-3093