To recieve a one year subscription to The Colorado Gambler for $36.00

fill out and print the following form and mail it to:

The Colorado Gambler 8933 East Union Suite 230  Greenwood Village, CO  80111

(or write the following information on a piece of paper and mail it in.)

Name:

Address:

City/State/Zip:

Phone:

E-mail:

Payment Information:

Check number and amount:

Credit Card type:

Credit Card Number:

Card Exp. Date and amount:

Rectangle

Signature:

Picture

Visit our Sponsor Gaming Site:

Site Created by KeriCaraher@usa.net