Street address:
City, State, Zip:
Paradise Creations Distributor Request Form:
Distributor Inquires only please.
To carry Las Vegas Fortune in your place of business just fill out this
form print and fax completed form to: (303) 450-9975.
(6 game minimum order required)
Company contact information:
First name:
Last name:
Phone:
Fax:
Email:
Company name:
Country:
Providence:
Resale permit number:
Please tell us how you heard about us:
You will be sent information by mail immediately. Thank You.
Questions: Kevin (303) 452-7777
Email: Kevin@LVfortune.com
To submit by fax: (303) 450-9975
