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WINNERS CIRCLE

Winner's Circle order form: (print and fill in)

Name:________________________________________________
Address:______________________________________________
City:__________________________ State:___ Zip:_________
Phone:___________________
Fax:_____________________
Birthdate:__________
E-mail address:______________
Desired password:____________
Operating system: Win-98__ Win-95__ Win 3.x__ MS/Dos__ Which version?__ Other__

Payment via:

  • Personal check:__
  • Cashier's check:___
  • Money order:___
  • Other:__

*Checks must be made payable only to : Danny Guest

Shipping address: (if other than above)

Street address:_________________________________________
City:______________________ State:___ Zip:_________

Send order and payment to :

Danny Guest
2004 Laughlin Ct.
Arlington, Tx
76012