To order by mail: print this page then fill out and mail to:


Marshall House, Inc.

PO Box 372

Sunset Beach, CA  90742

USA

Item Unit Cost Qty Total
 The Progressive Winner - Jacks or Better

 $19.95

   
                                           - Jacks or Better (Customized) $49.95    
                                           - Bonus Poker $19.95    
                                           - Bonus Poker (Customized) $49.95    
                                           - Double Bonus $19.95    
                                           - Double Bonus (Customized) $49.95    
                                           - Double Double Bonus $19.95    
                                           - Double Double Bonus (Customized) $49.95    
                                           - Deuces Wild $19.95    
                                           - Deuces Wild (Customized) $49.95    
                                           - Joker Poker (Kings) $19.95    
                                           - Joker Poker (Kings) (Customized) $49.95    
 Sales Tax (California only) 7.75%  
Shipping  (Select 1)      
 US (Incl. Puerto Rico & US Virgin Islands) $4.75  
 Canada $6.75  
 Mexico $9.75  
 International Other $12.50  
TOTAL    

  

If you are ordering a customized Progressive Winner specify the type of machine and the payback schedule desired:

             e.g. Type of Machine: Jacks or Better: 

Payback Schedule: Royal Flush - 250 for 1 coin - 4000 for 5 coins, Straight Flush - 50, Four of a Kind -25, Full House - 8, Flush - 5,                  Three of a Kind - 3, Two Pair - 2, Jacks or Better - 1
Type of Machine:
Payback Schedule:

 

Select a payment method:

 

 Visa

 

 Master Card

 

 American Express

 

 Discover

 

 Check* / Money Order*

* Payment by check or money order limited to US shipments.

                    Payments by check will not be shipped until payment cleared by bank.

                                                   Make checks out to Marshall House, Inc.


Enter the appropriate credit card payment information:

Cardholder's Name:
Card Number:
Expires (MM/DD/YYYY):  
Verification #:
The verification number is the three-digit number found on the card's signature strip.
American Express cards, please enter the four-digit number printed on the front of the card.
Please enter the cardholder's name exactly as it appears on the card.

 

Bill to:

(Goods will be mailed to Card holder billing address)

 

Name:  
* Company:  
Address:  
*  
*  
City:  
State/Province:  
Zip:  
Country:  
Phone:  
* Fax:  
Email:  
* optional