THE GAMBLING CONNECTION Mail/Fax Order Form Use your Web browser's "File" and "Print" commands to generate a copy of this GAMBLING CONNECTION Snail Mail/Fax Order form.
Then, simply fill in all requested address and payment information, specify which book(s) or software product(s) you wish to receive and have
the items shipped the next day to your home or office. If ordering by mail, checks, money orders and traveler's checks are acceptable methods
of payment, along with VISA, MasterCard, Diner's Club, Discovery, Diner's Club, Carte Blanche. Name_________________________________________ Title_______________
Company
(optional)_____________________________
Street_________________________________________________________________
City_____________________________State/Province __________________________
Country__________________________Postal/ZIP code ________________________
Voice Phone (Day)______________________Fax_________________________
Email Address_________________________
Select one of the method of payment below ( ) CHECK
( ) MONEY ORDER
( ) CREDIT CARD Credit Card No.__________________________________
Expiration Date_____/______
Name (as it appears on card)_____________________________
Signature
______________________________________________
ORDER WORKSHEET
(Enter desired Book/Software Titles Below) #1 _________________________________________________ Price US$______.____ #2 _________________________________________________ Price US$______.____ #3 _________________________________________________ Price US$______.____
#4 _________________________________________________ Price US$______.____ #5 _________________________________________________ Price US$______.____ #6 _________________________________________________ Price US$______.____
***24-HOUR FAX ORDER HOTLINE: 818.781.3125*** GAMBLING CONNECTION
Mail Order Desk
16140-B Valerio Street
Van Nuys, CA 91406-2912 | 
