Order Form

1) Please print out this order form and fill in all required information.

2) Make Check/Money Order Payable to John Coppa and mail to:

Smart Casino Gambling

P.O. Box 5472

Wakefield, R.I. 02880

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Best Buy!

Complete Set of All Seven Smart Cards!

All Seven Cards-----------------Only $12.95

S/H--------------------------------------3.00

Total-----------------------------------$15.95

R.I. residents add 7% sales tax (R.I. total $16.86)

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3) Please Ship My Order To:

Name_______________________________

Address______________________________

City_______________State_____Zip_______

Phone / E-Mail ________________________

Please tell us how you found John Coppa's web site?

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