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Belly Chains

Lotto Pool Order Form
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Make $250,000 In Weeks
CA Lotto Pool
$6 by Six Millions Money Program
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Pool Ticket Play: 1 MEGA Million® & SuperLOTTO Plus® = $2.00 per play

To contact us just fill out this form.

Your Name:

Your Telephone Number:

Your Email Address:

Your Street Address:


State: Zip:

Service You Require:(Questions, No. of Plays, etc...)

Payment by: Credit Card Check By Mail 

VisaMasterCardDiscoverAmerican ExpresseCheck

Your Credit Card Number:  Exp. Date:  (mm/yy)

Number of Plays:  Tue/Wed Number of Plays:  Fri/Sat

Total Number of Plays:  X Number of Plays @ 2.00=

Please contact me by: Email Telephone 

Mail Checks To:
Collin Wilson Enterprises
CA Lotto Pool
450 W. Pioneer Drive Suite 441
Glendale, CA 91203
More Information here

My Jewel Box *  Glendale, CA * US * 91203