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T&T Solutions Inc., P.O. Box 9205, Lyndhurst, NJ 07071 Fax:(201) 939-4554 |
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Shipping Address |
Billing Address |
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| Name: | ___________________________ | Name: | ___________________________ |
| Address | ___________________________ | Address | ___________________________ |
| City | ___________________________ | City | ___________________________ |
| State & Zip | ___________________________ | State & Zip | ___________________________ |
| Country | ___________________________ | Country | ___________________________ |
| Phone | ___________________________ | Phone | ___________________________ |
| Fax | ___________________________ | Fax | ___________________________ |
| ___________________________ | ___________________________ | ||
| Web Page | ___________________________ | Web Page | ___________________________ |
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| Check one: Unlock registration code [ ] CD ROM [ ] | |||
| Method
of Payment. Check one: Check or Money order [ ] (prepaid US funds drawn on US bank payable to T&T Solutions.). LottoWhiz will be shipped when payment is received. [ ] Visa [ ] MasterCard [ ] American Express [ ] Discover Will be shipped on the next business day. |
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| Full Name on Card: _____________________________________________________ | |||
| Card Number: _____________________________________________________ | |||
| Expiration Date: _____________________________________________________ | |||
| Signature: _____________________________________________________ Date: ________ | |||
| *Shipping
costs are $10.00 for the US, $15.00 for Canada and $20.00 anywhere else. No shipping costs if you are ordering the unlock registration code to be sent to you via email. |
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