ORDER FORM (Make Cheques or Money Orders Payable to: The Lottery Exchange)     
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THE LOTTERY EXCHANGE                                 BBS 416-398-5140
86 FULWELL CRES.                                    
Toronto, Ont.
M3J 1Y3
CANADA

First name, Last name ___________________________________________________

Mailing Address: ________________________________________________________

State/Prov _______________________ Postal or ZIP Code ___________________

Phone # (   ) ______-____________

Visa/MC number___________________________________ Exp. Date _____________
(circle one)

Name as it appears on your
credit card if different from above _____________________________________

Signature:(if paying by Credit Card) ______________________

Circle-> Disk  5.25"  360K  1.2M ; 3.5" 720K, 1.44M  
Hard Drive:_______MB  Circle-> Mono-CGA-EGA-VGA-modem-windows-286-386-486
Laptop computer YES - NO

I am using PC-LOTTO ver. _________

PC-LOTTO-Pro        (June 92 price)                   ($65) _____________

PC-LOTTO-Light      (floppy supported)                ($45) _____________

PC-LOTTOprint ver.                                    ($55) _____________

PC-LOTTO-Pro  update (your reg.#= __________)         ($25) _____________

PC-LOTTO COMBO PACK (PC-LOTTOpro and PC-LOTTOprint)   ($99) _____________

PC-LOTTO BBS 1 year membership
       (comes free with newly registered versions)    ($30) _____________           __________________

Shipping / Handling $5 for North America         (Shipping)        $5.00 

                              (Add $6 Elsewhere or Express) _____________
Canadian residents add 7% GST, and
ONTARIO res. add an additional 8% PST               (TAXES) _____________

       

                                                    (TOTAL) _____________
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comment:
If you are paying by Money Order in U.S. funds discount the price by 10%.
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We still make the original software under the name "PC-LOTTO-Light"
- less memory needed (340k), no mouse, hard drive not required
- capacity up to 1400 draws, Keno not supported (up to 8 numbers)
  This software is to satisfy customers without a hard drive.
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