To Print: Right Click Here And Click Print |
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).
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Call:
____________________________________
Please mail this form to the address at the top of this page.
If you pay by credit card, you may call in your order at 270-786-1000.
You will receive a receipt via mail for this transaction.