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Hoss Broadcasting

P.O. Box 85

1130 South Dixie St.

Horse Cave, KY 42749



Trader Order Form:   TR01 1 WK AM+PM / 10 ADS

Description: Morning and Afternoon Trader Ads For One Full Week

Cost: $10.00

Mail/Order Processing Fee: $1.00

Total Cost: $11.00 Per Week


Total Weeks You Want To Run: __________  Date You Want Your Ad To Start:__________


Payment Method (check one): ________ Check ________ Visa/MasterCard/Discover


    Check Payment:  Please Enclose Your Check And Mail To Address Above


    Credit Card: (All Info Is Required For Processing Orders. Your Order Is Secure.)


            Full Card Number: ______________________________


            Expiration Date:_______________________


            3 Digit Code From Back Of Card: ____________


            Name: (As Printed On Card)________________________________________


          Card Billing Address: _______________________________


            City: _______________________ State: _______ Zip Code: _____________


            Phone: (___) ___________________



Provide Your Trader Ad Info Below. Don't Forget Your Phone Numbers.

Please Specify For Sale, Looking For, Lost, Will Do, Give Away, Found... (please print clearly).