LUCKYDAY REGISTRATION FORM ------------------------------- PLEASE SUPPLY US WITH THE FOLLOWING INFORMATION SO YOUR ORDER CAN BE PROCESSED QUICKLY.... Your Name: _________________________________ Street Address: ________________________________________ City: ____________________ State: ______________ Zip: ___________________ Country: _____________ Phone: _________________________ Enclosed is $____________ for ________ Copy(s) of LuckyDay at $19.95 U.S. Please send me LuckyDay on __ 5 1/4 or __ 3 1/2 Disk(s) (Check one). What other types of programs would you like to see? Comments: _________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________