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Publication List and Order Form
To Place an order:
1: Print out this form and fill it out completely--remember to sign it
2. Print out the full magazine listing and check off any titles you want to carry
3. If you need a rack be sure to check it off
4. Mail or fax back all above information to:

TV News Sales Co., Inc
P.O. Box 690636,
Quincy, MA  02269-0636
Phone: 617-471-8306   Fax: 617-471-2501

ALL INFORMATION LISTED BELOW MUST BE FILLED IN COMPLETELY FOR US TO START YOUR ORDER.
PLEASE PRINT NEATLY:

Store Name:         
US Mail Address: 
UPS Address (if different):  
City:           State:     Zip:       
Phone #:    Fax #:    Email:
Owner Name Proprietorship Partnership Corporation
Years In Business:     Federal ID #:  
Owner Social Sec # 
Bank    Bank Address 

We Need Two Suppliers for Credit Check

Supplier #1: Supplier #2:
Address: Address:
Phone #: Phone #:

I fully understand the terms as stated on this brochure.  I guarantee payment will be made.  I understand that if payment is not made, all shipments will be stopped and my account will be immediately turned over to collection. Customer is responsible for any collection fees, court costs, and reasonable attorney fees to collect unpaid balanaces. I understand I must pay in full for any racks shipped to me if I discontinue service within one year of starting to receive magazines.

Signed by Owner ___________________________________________________________________

 

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Publication List and Order Form