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VISIT OUR
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Casino Slots Gamblers Store
order Form
Please print out This form
T- Shirts
Red White and Blue 7's ...........XL $14.95_______XXL $19.95__________
Large $14.95________, Med $14.95 _______
Double Diamond ...................XL $14.95________XXL $19.95__________
Large $14.95_________, Med $14.95 ______XXL $19.95__________
Wild Cherry ......................XL $14.95_________XXL $19.95___________
Large $14.95_______, Med $14.95________
QuantityXXL____XL____L____M____ Other notes_____________________________
Add $3.75 per shirt for shipping and handling
Buff no More .... Slot Machine Polish.....$9.95 _______QTY_______
Add $3.75 for shipping and handling
Add $9.95 for shipping and handling
Add $.50 per deck for shipping and handling
Add $7.95 Shipping handling
All other states require no sales tax
Please Mark the Items you wish to purchase and Quantity,
Then Fax order to Casino Slots
214-631-7568
Or send check or Money order to (Casino Slots, 2722 Cartwright Street
Dallas TX. 75212)( Texas Residents add 8.25% sales Tax )
Hats
Hat 1 ....$12.95_____________ Qty_________Hat 3....$12.95_______Qty______
Hat 2....$12.95______________Qty_________Hat 4....$12.95_______Qty______
Add $3.95 for shipping
Coffee mugs and shot glasses
mug 1......$4.50__________Qty________ Mug 2....$4.50__________Qty______
Shot glass1....$$4.50________Qty______Shot Glss 2....$4.50_______Qty_____
Add $3.95 shipping and handling
If You wish to purchase by Visa , Master Card or Discover, Please fill out these lines.
Type card ..... Master Card___ Visa____ Novus___, Card Number___________________
Expiration Date___________, Please sign here________________________
Total amount to be authorized on your account for this purchase_$_______________________________________Total $___________
You May also order over the phone 1-(800)-499-2590
10:00am-6:00PM Central Standard Time
Your Information
Name______________________
Address___________________Phone_(____)__________
City____________________State___________, Zip Code____________