Please fill out this form, then fax or mail it as desired.
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CONTACT INFORMATION
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Your Name (as it appears on your credit card)
Your email (for shipping notification)
Your phone (required)
SHIPPING INFORMATION******
Address
City, State, Zip
** **
BILLING INFORMATION (if different from shipping)
**Address
**___________________________________________________
**City, State, Zip
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****PAYMENT OPTIONS** (Please check one)
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**Check/Money Order _________
Credit Card: ________
We accept only: Mastercard | Visa | American Express
**___________________________________________________
**Credit Card#
**___________________________________________________
**Expiration date:
___________________________________________________
**3 Digit Security # (back of your card); 4 digit on the front of AmeEx.
**
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****COMMENTS** (if any) ** ****
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****CALENDAR ORDER & PAYMENT
(11.99$ per calendar; Shipping is $3.55 on the 1st calendar; please add $2 for each additional calendar.)
| # OF CALENDARS: | ________________________ |
| SHIPPING: | ________________________ |
| TOTAL AMOUNT DUE: | ________________________ |
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Remember, quantities are not guaranteed and your credit card will NOT be billed until we ship your order.
Three Convenient Ways to Order:
**Contact Kristie Mitrikov
**
1. Fax orders: 407-571-4847 **
****2. Phone Orders:** please CALL 407-571-4846
3. Mail orders: please send your check/money order and completed
order form to:
**
****2006 FISHING CALENDAR**
c/o Kristie Mitrikov
World Publications, LLC
460 N. Orlando Avenue.
Suite 200
Winter Park, FL 32789**
