XMAS GOLD ORDER FORM

We must have a signed copy of the license!

Use your credit card or send a check or money order for $59.50 to Radio Mall, 2412 Unity Ave. N., Dept. XM2W, 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)_______________________________________________________

Street Address_____________________________________________________________________

City, State, Zip__________________________________________ Country____________________

Phone ___________________ FAX____________________ E-mail___________________________

How you found us___________________________________________________________________

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

Card#_______________________Exp.Date_____Signature_____________________ CCID_________

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

For Radio Broadcast Only!!!

To go back to the full page, click here!