Fox Trotter Corral
Advertiser Order Form
| Name ___________________________________ | |
| Address__________________________________ | |
| City ____________________________________ | |
| State _____ Zip____________ | |
| Day phone ______________________________ | |
| Ad wording ($.25 per word):
|
|
| Number of words _________ | Wording amount due $____________ |
| Number of photos (attached)($20 per photo)_____ | Photo(s) amount due $____________ |
| Total amount due $____________ | |
| VISA or Mastercard: | Check enclosed (circle one) YES NO |
| __ __ __ __ -__ __ __ __ -__ __ __ __ -__ __ __ __ | |
| Expiration MONTH ______ YEAR ______ | Please do not send cash. |
| Signature _______________________________ | |
Horse's registered name _________________________________
Horse's registration number_______________________________
Mail to Web Ad, MFTHBA, PO Box 1027, Ava, MO 65608
Office Use Only
Membership(s) verified by _____
Registration(s) verified by _____