To order the MP Blackjack system by mail by money order, check, or credit card, print the form below, complete it and mail it along with your payment to the address below. Please write any checks or money orders to Albert Garza. All orders will be sent out within 24 hours.

Albert Garza
6384 Aylworth Drive
Frisco, TX 75035
NAME:  ___________________________________________________
ADDRESS:  ___________________________________________________
CITY:   ________________________ STATE:   ________ ZIP CODE:_________
PHONE:  ___________________________________________________
EMAIL:  ___________________________________________________
METHOD OF PAYMENT:

Please check All that Apply

 CHECK MONEY ORDER CREDIT CARD MONEY ORDER
CREDIT CARD: VISA: ___________________________________________________ EXPIRATION DATE:  _______________
MC: ___________________________________________________
NAME ON CARD:  ___________________________________________________ Date: __________________________
SIGNATURE:  ___________________________________________________
Special Instructions:

 
ID #  Description Price Check One
201 MP Blackjack Sent by Email to email address given above 95.00   _____
202  MP Blackjack Sent by Air Mail 105.00 _____