To order any of my Baccarat Systems by mail by money order, check, or credit card, print the form below, complete it and mail it along with your payment to the address below. Please write any checks or money orders to Albert Garza. All orders will be sent out within 24 hours.

Albert Garza
6384 Aylworth Drive
Frisco, TX 75035
NAME:  ___________________________________________________
ADDRESS:  ___________________________________________________
CITY:   ________________________ STATE:   ________ ZIP CODE:_________
PHONE:  ___________________________________________________
EMAIL:  ___________________________________________________
METHOD OF PAYMENT:

Please check All that Apply

 CHECK MONEY ORDER CREDIT CARD MONEY ORDER
CREDIT CARD: VISA: ___________________________________________________ EXPIRATION DATE:  _______________
MC: ___________________________________________________
NAME ON CARD:  ___________________________________________________ Date: __________________________
SIGNATURE:  ___________________________________________________
Special Instructions:
ID #  Description Price Check One
101 3-Way Plus Bac, Emailed 130.00   _____
102  3-Way Plus Bac, Sent by Air Mail  140.00 _____
103 3-D Bac, Version 1, Emailed 130.00 _____
104 3-D Bac, version 1, Sent by Air Mail    140.00 _____
105 3-Way Plus Bac & 3-D Bac, version 1, Emailed 195.00 _____
106 3-Way Plus Bac & 3-D Bac, version 1, Sent by Air Mail  205.00 _____
107 3-D Bac, Version 2, Emailed 450.00 _____
108 3-D Bac, Version 2, Sent by Air Mail  460.00 _____
109 Special - Order 2 systems out of selected list.  Includes MP Blackjack. List the systems in the special instructions section above. EMAILED 195.00 _____
110 Special - Order 2 systems out of selected list.  Includes MP Blackjack. List the systems in the special instructions section above. SENT BY AIR MAIL 205.00 _____