1045 Avondale Rd Ste. B • Hendersonville, TN • 37075 Toll Free: 1-877-822-9883 Toll Free Fax: 1-877-822-9886 Email: sales@3oakpublishing.com


Bill to: Address:


City


Contact Phone Email


State Fax


Credit Card Information: Type of Card: Mastercard Visa


Zip


Ship Date: PO #: Terms: Discount: Order Date:


Customer #: Representative:


Ship to: Address:


City


Contact Phone Email


American Express Discover


Card Number #:__________________________________ Verification #:__________ Expiration Date:________________ Charge Amount:________________ Billing Zip Code:______________ Keep card on file for reorders: Y N Signature:


BITD88 - Back In The Day Program 1 (2 of each year & 2 additional commemorative years)


88 Back In The Day Almanacs & Display INV Order


1940 1941 1942 1943 1944 1945 1946 1947 1948 1949


Special Instructions:


1950 1951 1952 1953 1954 1955 1956 1957 1958 1959


INV Order


1960 1961 1962 1963 1964 1965 1966 1967 1968 1969


BITD168 - Back In The Day Program 2 (4 of each year & 2 additional commemorative years)


168 Back In The Day Almanacs & Display INV Order


1970 1971 1972 1973 1974 1975 1976 1977 1978 1979


Order Summary: Back In The Day Almanacs Envelopes Display Other


ORDER TOTALS Buyer’s Signature:


Qty Ordered Cost Total INV Order State Fax Zip


Name on Card:____________________________


Invoices must be paid within terms or guarantees are voided.


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