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.
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(A) SOLD TO: (Your name and address) Name: ____________________________________ E-mail: ________________________________ Street Address: ___________________________ ____________________________________ City:________________ State:___ Zip:________ Daytime Telephone:_______________________ |
(B) SHIP TO: (if different from sold to) Name: ____________________________________ Street Address: ___________________________ ____________________________________ City:________________ State:___ Zip:________ Delivery Address Telephone:_____________________ |
(C) ITEMS:
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Item: |
Description*: |
Quantity: |
Price: |
Total: |
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Autograph to: ____________________________________
(D) Totals, Taxes, Shipping:
Order total - shipping charge(E) Method of Payment:
___Check or money order (payable to "Tom Bass Enterprises")
___ American Express ___ Mastercard ___ Visa ___ Discover
Credit card #____________________________ & exp. date:____________