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Please print and complete this form.
Mail it to the address below
or fax it to 615-541-2692.
Phone orders accepted at: 615-478-4104 |
db iSystems
d.b.a. AmusementsNow
PO Box 110
Old Hickory, TN 37138 |
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2010 Fairs & Festivals Guide
PRE-PUBLICATION
Order Form |
QTY |
ITEM |
ITEM NAME |
PRICE EACH |
TOTAL |
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10-FFG |
2010 Fairs & Festival Guide
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$65.00 (U.S. dollars)
Guide Price |
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INCLUDES a one year Online subscription to our
FAIRS & FESTIVALS
information web search site is included at NO ADDITIONAL COST!
There are NO additional fees to have updated fair and festival information
at your fingertips through-out the year! |
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SUBTOTAL: |
_______ |
*SHIPPING & HANDLING:
(Included at no charge) |
$0.00 |
TOTAL AMOUNT:
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_______ |
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BILL TO (MUST MATCH YOUR CREDIT CARD BILLING ADDRESS):
FIRST NAME:
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LAST NAME:
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STREET ADDRESS:
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CITY:
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STATE: ZIP CODE:
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PHONE:
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E-MAIL:
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SHIP TO (if different):
FIRST NAME:
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LAST NAME:
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STREET ADDRESS:
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CITY:
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STATE: ZIP CODE:
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PHONE:
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E-MAIL:
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CREDIT CARD INFORMATION:
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__ Visa
__ MasterCard
__ Discover
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CARD # : ____________-____________-____________-____________ |
EXP DATE: ______ /_______ |
CVV (3-DIGIT # ON BACK OF CARD): ________ |
Signature: __________________________________ |
Date: ____________________ |
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