Order Form
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Please contacts us via email for address. "Info @ lottowhiz.com"  

Shipping Address

Billing Address
Name: ___________________________ Name: ___________________________
Address ___________________________ Address ___________________________
City ___________________________ City ___________________________
State & Zip ___________________________ State & Zip ___________________________
Country ___________________________ Country ___________________________
Phone ___________________________ Phone ___________________________
Fax ___________________________ Fax ___________________________
Email ___________________________ Email ___________________________
Web Page ___________________________ Web Page ___________________________
LottoWhiz 4G   $19.95
plus shipping *  and (6.625% tax in New Jersey only).
Check one:             Unlock registration code [ ]                    CD ROM [ ]
Method of Payment. 

Check or Money order [ ]  (prepaid US funds drawn on US bank payable to T&T.). LottoWhiz will be shipped when payment is  received.

*Shipping costs and handling costs for CD-ROM are $30.00.

No shipping costs if you are ordering the unlock registration code to be sent to you via email.