Order Form         

Parlay Card Designer


  Name 

  Company

  Address
  (Must Match credit card Billing address)

  City

  State        Zip 

  Email

  System ID


 SELECT PRODUCT

Parlay Card Designer  
$195 Free overnight delivery

Parlay card Designer AZ Residents 
$195 + $13.26 sales tax. $208.26 total   Free overnight

(Please Check one Above)


 

Payment Information:

Credit Card:

Credit Card Number:

Expiration Date:

The Charge Will appear on your Credit card Statement as
Steve Karas and Associates

 

                  

 

To order by check
Print out this form and mail it along with your check to
Steve Karas and Associates,
3341 E Turquoise, Phoenix, AZ.  85028
or you may Fax this order form to 602-494-9143