NAME

ADDRESS

ADDRESS

CITY

STATE ZIP CODE



Please provide the following information authorizing us to charge your Credit Card $25.oo for our 2 out of 3 Daily Basketball Special with the provision that at least 2 of the 3 selections must win or you will receive the selections for the following two days at no additional charge.



For auditing purposes please enter the amount you authorize us to charge your Credit Card



Please indicate the day you would like to receive your selections --

If no date is entered we shall email you the current day's selections if we receive your subscription before 3 PM Pacific time on weekdays, or before 9 AM Pacific time on weekends.


VISA MASTERCARD Card Number

Expiration Date Name on Card

TELEPHONE NUMBER: Area Code Number

VERY IMPORTANT ---> E-MAIL ADDRESS

Questions or Comments?



Please review the entire Order Form to make sure you have entered all the information required and as you intended. If you wish to start all over, click .

If you are satisfied with the information you have entered and are ready to place your order, click .