Printable form for Certify Checks/Money Order

NAME:


ADDRESS:


CITY:


STATE:


ZIP:


COUNTRY:

Telephone:


Please check appropriately

[ ] Natural Nine $100,000.00

[ ] Never Lose $50,000.00

[ ] Intermediate Level I $499.00

[ ] Intermediate Level II $4500.00

[ ] Advanced Level $8000.00

[ ] Phoenix Ultimate Blackjack $9500.00


[ ] Advanced Level 2 $$9,900.00

For mail orders:

Complete the printable form appropriately and mail it to us.



send to:

Dragon Baccarat System
3276 Buford Drive, Suite 104-108
Buford, GA 30519



MAKE YOUR CASHIER'S CHECK OR MONEY ORDER PAYABLE TO: Chua Guat Hong