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HillCountryBride.com |
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| PO Box 2719
Fredericksburg, TX 78624 |
phone (830)
456-1820 |
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email:
info@hillcountrybride.com |
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fax (830)
997-8066 |
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www.hillcountrybride.com |
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| Order
Form |
(please print) |
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Today's Date:
_______________ |
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| Information
to list online |
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| Business
Name: |
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| ________________________________________________ |
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Category Banner Ad? Yes / No
(circle one) |
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| Contact
Name: ___________________________________ |
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Price $_________ |
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Are you providing the
jpeg ad? Yes / No
(circle one) |
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| Address:
________________________________________ |
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(please email the ad to
info:hillcountrybride.com) |
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| City,
St, Zip:_____________________________________ |
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| Website:__________________________________________ |
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Are we designing your
ad? Yes / No (circle one) |
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| email:____________________________________________ |
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(1 hr min.$75) |
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Price $_________ |
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| Phone:___________________________________________ |
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Home Page Banner Ad? Yes
/ No (circle one) |
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How Long? 3 Months / 6 Months (circle one) |
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Price $_________ |
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| How
many Categories? _________ |
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| List
Categories: ___________________________________ |
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| _________________________________________________ |
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add prices below: |
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| How
Long? 6 Months / 12 Months (circle one) |
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(see prices
online or below) |
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Price $_________ |
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Sub-total |
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$ __________ |
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add |
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| Billing
the same as above? If different: |
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Sales Tax (8.25%) |
$ __________ |
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| Name
_______________________________________ |
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| Address_____________________________________ |
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Total Due |
$ _________ |
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| ____________________________________________ |
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I am paying with ... |
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PayPal, Visa, MasterCard,
check (ck#_______) |
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| NOTES: |
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| If paying with a credit card, please fill out the
following: |
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MasterCard
or Visa only |
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| Name
on Card ______________________________________ |
Circle One- MasterCard /
Visa |
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| Credit
Card #
________________________________________________ |
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Exp. Date -
___________ |
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| Authorized
Signature |
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(must sign if using a
credit card) |
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| Your
receipt will be mailed or emailed |
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| Pay online
at www.hillcountrybride.com/vendors.html |
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| Payment
must be sent before your listing is added online. |
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| Buy now and take advantage of our 2009
introduction rates! |
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Prices: |
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Single |
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Double |
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| Text Listing - One Category |
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Text Listings - Two Categories |
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| 6
months … $15.00 |
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6 months … $30.00 |
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| 12
months … $25.00 |
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12 months … $45.00 |
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| -
Add to your text Listing - |
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- Add to your two
text Listings - |
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| One
Banner Box Ad |
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Two Category Banner Box
Ads |
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| 6
months ... $65.00 |
(text & banner) |
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6 months ...
$105.00 |
(text & banner) |
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| 12
months ...$100.00 |
(text & banner) |
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12 months ...$185.00 |
(text & banner) |
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Home Run |
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| Add
Home Page Featured Banner Link |
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| (first-come-first-serve,
limited space) |
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| Purchase
only a Home Page Ad or in addition to regular Category Business Listings. Up to 6 months only. |
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| 3
months … $30.00 (your design) |
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| add min $75 if we design
(per hr) |
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| 6
months ... 55.00 (your design) |
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| add min $75 if we design
(per hr) |
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| *If
you have multiple businesses, each must be ordered separately |
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| *TX
Sales Tax 8.25% must be added to all prices. |
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| *Prices
are subject to change anytime |
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| *For
3 or more Category Listings per business, use the above single/double pricing
structures |
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| *PayPal,
Visa, MasterCard, checks accepted |
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