Print it out, fill it out,
and send it in!
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METHOD of PAYMENT: ____MASTERCARD ____VISA ____AMERICAN EXPRESS - - EXPIRATION DATE: MONTH____ YEAR____ ACCOUNT NUMBER - INCLUDE ALL DIGITS: ___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/ Print EXACT Name Appearing on Credit Card: __________________________________________________________________________ Signature:__________________________________________________________________ Phone:_____________________________________________________________________ |
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PLEASE MAIL THESE ITEMS
TO: Name: _____________________________________________________________________________ Address: _____________________________________________________________________________ City: _______________________________________ State:_________________ Zip: ____________ |
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Send your completed Order Form to:
The Hot Steamed Jazz Festival
P.O. Box 293
Essex, CT 06426-0293
If you would like a confirmation via email, please include your email address:________________
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Last Revised: 02-May-08
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