CHRISTMAS HITS ORDER FORM

We must have a signed copy of the license!

Use your credit card or send a check or money order for $69.50 to Radio Mall, 2412 Unity Ave. N., Dept. XM1W, Minneapolis, MN, 55422. Credit card orders can also be placed by phone or FAX at 763-522-6256. Minnesota residents, please add sales tax. Free shipping anywhere in the USA!!! Foreign orders add $30 for shipping.

For credit card orders, phone or FAX 763-522-6256.

Name_______________________________________________________________________

Station Call Letters (REQUIRED)__________________________________________________

Address______________________________________________________________________

City, State, Zip_____________________________________ Country____________________

Phone _______________ FAX___________________ E-mail___________________________

Use your VISA, MasterCard, American Express, Optima or Discover Card

Card#____________________Exp._____Signature_____________________ CCID_____

For credit card orders, phone or FAX 763-522-6256

For Radio Broadcast Only!!!

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