Order By Mail, Fax or Telephone
SportMaps, Clinics or Books

Coach Bass Sport Maps™
A Division of Tom Bass Enterprises
PO Box 8326
Rancho Santa Fe, Ca. 92067

FAX: (760) 720-7557
TOLL-FREE PHONE: 1-888-690-MAPS (6277)
Print this form and use it for reference when calling in your order or mail or FAX it to us.


(A) SOLD TO: (Your name and address)

Name: ____________________________________

E-mail: ________________________________

Street Address: ___________________________

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City:________________ State:___ Zip:________

Daytime Telephone:_______________________

(B) SHIP TO: (if different from sold to)

Name: ____________________________________

Street Address: ___________________________

____________________________________

City:________________ State:___ Zip:________

Delivery Address Telephone:_____________________


(C) ITEMS:

Item:

Description*:

Quantity:

Price:

Total:

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*Please specify COLLEGE or PRO SPORTMAP. For COACHING CLINICS please specify titles. For autographed copies of PLAY FOOTBALL THE NFL WAY, please specify who to autograph the book(s) to.

Autograph to: ____________________________________


(D) Totals, Taxes, Shipping:

Order total - shipping charge
$0 - $10.00 - no shipping charge
$10.01 - $16.00 - $2.00
$16.01 - $20.00 - $3.50
$20.01 - $40.00 - $4.00
$40.01 - $60.00 - $5.00
$60.01 - $80.00 - $7.00
$80.01 - $100.00 - $8.00
$100.01 - $150.00- $10.00
$150.00 - $200.00 - $12.00
$200.01 and up - $15.00

(E) Method of Payment:

___Check or money order (payable to "Tom Bass Enterprises")
___ American Express ___ Mastercard ___ Visa ___ Discover

Credit card #____________________________ & exp. date:____________