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:____________________________________