Free Template Request

You must complete all information in request form with correct information. As in terms and conditions you must accept these conditions prior to using the free gambling templates. Each layout has a sponsor link at the bottom of the template, this sponsor link must remain on templates as long as you are using it. Removal of this link will result in you no longer being authorized to use template. We do track all templates to verify the link is still there. If you do not wish to have a sponsor link on you site, you can select to have a custom template done at a fee. If you agree, continue with the download process.

Complete with legit information or your request will be denied

First name : *

Last Name : *

Address : *

City : *

State : *

Zip Code : *

Email : *

Phone : *

Website URL :

(Provide domain you plan to use this template)

Do you need logo tweaking for only $25?

Yes No

Do you need logo tweaking for only $100?

Yes No

Do you want to buy the template for unique price?

Yes No

Payment Information

Billing Cycle:		*
Payment Method:		*
Credit Card Owner: * Credit Card Number: * Credit Card Expiry Date: * CVV2: * (located at the back of the credit card) Checking Account fax a copy of a voided check to: (714)-253-3087 Routing Number: * Account Number: * * Valid Routing # must start with 0, 1, 2, or 3


	I authorize The Gambling Templates to process debit entries from my account. I understand that this authorization will remain in effect until I provide reasonable notification of its termination or until the end date specified above.

Sample Site: nodeposit-casinos.com