Order Form
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T&T Solutions Inc.,    P.O. Box 9205,    Lyndhurst,  NJ  07071  

Fax:(201) 203-6278

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   $29.95
plus shipping *  and (6% tax in New Jersey only).
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.

Full Name on Card: _____________________________________________________
Card Number:         _____________________________________________________
Expiration Date:      _______________________________ CSC/CVC_____________
Signature:              _____________________________________________________   Date: ________
*Shipping costs and handling costs for CD-ROM are $20.00.

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