POWERBALL & MEGA MILLIONS
NUMBERS CHECK SYSTEMS
Order Form
PBNCS, BGNCS: Copyright (c) 2002 Derrick K. Lewis are offered by:
DDR Software Associates
126 N. Pierpont Avenue
Newburgh, NY 12550
e-mail: ddr126@aol.com
[ ] POWERBALL Lottery Numbers Check System - (PBNCS) $19.95 Plus s/h
To order: Print, Fill-in and Mail form below along with payment in US Funds: (A10001)
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[ ] MEGA MILLIONS Lottery Numbers Check System - (MMNCS) $19.95 Plus s/h
[ ] Buy Both Check System Disks for $34.95 Plus s/h
Number of Disks:_______ Cost:_______ S/H:_______ Sales Tax:_______ (NYS Residents Only).
Make Check or M/O Payment Payable to:
DDR Software Associates
Enclosed is a ____ Check ____ M/O In The Amount Of:__________
Mail payment and this form to:
Indicate Diskette Size by checking ___ 3 1/2 or ___ 5 1/4
First Name: _____________________ Last Name: ____________________________
Street Address: ________________________________________________________
City: ___________________________________ State: _______ Zip: _____________
A10001