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__________GO-LOTTO V2.31 REGISTRATION $49.95 USD

__________Shipping & Handling $ 3.50 USD-(NY Residents add 9.50% Sales Tax)

__________TOTAL

NAME_________________________________________________

ADDRESS______________________________________________

ADDRESS______________________________________________

CREDIT CARD #________________________________________Visa or MC

EXPIRE DATE__________________________________________

TELEPHONE #__________________________________________

SIGNATURE ___________________________________________

For quicker registration and no shipping and handling charge, also add E-MAIL

address and registration number will be sent by E-MAIL to you.

E-MAIL ADDRESS_____________________________________________

(Version 2.31 Updated 05/20/05 If loaded before this date please reload.)

Make check or money order payable to O'Falls Software

(allow 3-4 weeks for Delivery on Personal Checks)

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O'FALLS SOFTWARE

BOX 1387 SAW MILL RD

ORISKANY FALLS NY 13425

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