EZ PICK PRO™ MAIL IN ORDER FORM Print This Form

Name
Email Address
Street or P.O. Box
City, State & Zip Code
We are requesting your mailing address in case we experience problems getting email through to you. Under no circumstances will your private information be sold or otherwise shared with others.

We suggest you take a quick second to make sure your entries are clearly legible.
If we can't read the info, we will not be able to get the download to you.

Please include a money order in the amount of $27 made payable to: Harrison Media
Mail to: Harrison Media, P. O. Box 157, Tremont IL 61568

As soon as we receive your payment, you will be emailed the instructions for downloading
your copy of EZ PICK PRO. Please make absolutely certain that you print neatly and legibly.

Thanks for your order.

www.mylottomagic.com