The form below is used to order items from our Tradio list. We can ship it to you or if you are in the area you can pick it up. You can also order the item directly over the phone by calling 333-5282 and asking for Kathy.

ORDER FORM

First Name: Last Name:

Address:

City: State: Zip:

E-mail Address:

Contact Number: Type: Home Work Cell

Item Description:

Cost:    Quantity (if applicable): NA 1 2 3 4 5 6 7 8 9 10

Payment Method: Select One: Cash Check Credit Card Money Order

Credit Card Type: Select Card Type Master card Visa American Express Discover

Credit Card: (no-spaces)

Expiration: Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2004 2005 2006 2007 2008 2009

Comments/Questions:

Send the Form Clears the Form

Thank you for your order! Check back soon for more great items on our Tradio list. Note: This form is sent through the internet and is not protect by a secure server, if you want you can always call our station directly for purchase or questions.