"Powerball" Lotto 5/59 +1/39 Order Form
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online lotto order, on-line lotto ticket agency, online gambling


ATTENTION ALL POWERBALL LOTTO PLAYERS:

The Powerball matrix changes starting with the 01-07-2009 drawing!!!

Select five numbers from 1 to 59 plus the "PowerBall" from 1 to 39!!!!!

To play Powerball Lotto using this form, follow the these steps:

  1. All players must be at least 18 years of age!
  2. Choose how you want your numbers selected. Do you want to use the IMI Computerized Lotto Picker to choose your numbers? Do you want your numbers chosen at random from a State Lottery Machine (i.e. Quick Pick)? Or, do you want to choose your own numbers?
  3. Please tell us how many games you wish to play?
  4. Please tell us how many times you want us to play your numbers (number of draws).
  5. Please multiply the number of games by $2.00 (Minimum $20.00) and put the total amount at the end of the game grid.

We accept credit cards and Online Checks for payment of your order. If using Online Checks, please fill in complete bank information. Supply us with your check number then void the check. We will draft a check using that check number and submit it to our bank for regular bank processing. If using the online check method of payment, orders will only be processed after the payment cleared our bank.

You will receive a confirmation e-mail with your complete order information.

Choose how you want your numbers selected:

I want to use the IMI Computerized Lotto Picker

I want a State Lotto Machine (Quick Pick) to choose my numbers

I want to choose my own numbers

How many games (tickets) do you wish to play?

For how many draws do you want to play your numbers?


If choosing your own numbers, enter your five selected numbers between 1 and 59 plus 1 additional number between 1 and 39 (PowerBall number) for each game you wish to play. There is room for up to 20 games.
Enter them like this: (06-09-21-26-59) (39)

Warning: All numbers must be entered in ascending order!
Low to high!   All numbers must be entered as two digits
(see above example).

Number of Games Your Numbers "Powerball" Price Per Game
1 $2.00
2 $2.00
3 $2.00
4 $2.00
5 $2.00
6 $2.00
7 $2.00
8 $2.00
9 $2.00
10 $2.00
11 $2.00
12 $2.00
13 $2.00
14 $2.00
15 $2.00
16 $2.00
17 $2.00
18 $2.00
19 $2.00
20 $2.00

Total Amount Due (Number of Games X Number of Draws X $2.00, Min. $20.00)


Please provide the following contact information:

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone
FAX
E-mail
URL

If paying by credit card, please provide the following payment information:

I wish to pay by:
Credit card
Cardholder name
Card number
Expiration date

If paying by Online Check, please supply us with the following check information:

Name on check
Address on check
City on check
State on check
Zip Code on check
Please supply us the bank branch # (usually a number that looks like this 16-66/1234 that is generally located on the top right hand side of check near the check number)
Bank Branch Number
Please supply us the group of numbers at the bottom of the check. They consist of the 9 digit Routing Number, your Bank Account Number, and your Check Number.
 
Bank Routing Number
Bank Account Number
Check Number
Bank Name
Bank City, State & Zip

I authorize International Marketing, Inc. to draft a check or debit my credit card for
to cover the cost of my order for the "Powerball" Lotto 5/59 +1/39

Deadline for online orders: Wednesday and Friday 2:00 p.m. (ET)

 

Go to a different Lotto Order Form

Florida Lotto 6/53 Florida "New Fantasy 5" 5/36 German Lotto 6/49
California SuperLotto Illinois Lotto 6/52 Pennsylvania 6/69
"Big Game" 5/52 +1/52 Ohio Lotto 6/49
New York Lotto 6/59

online lotto order, on-line lotto ticket agency, online gambling

More Information?
E-Mail us!
sales@megawin.com

International Marketing Index
Wolfenborn 14
D-65329 Hohenstein

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