Sporthorse.com Order Form
Make checks payable to:
ACCESS Design, Inc.

PRINT this form, fill-out, then Mail to:
ACCESS Design, Inc.
P.O. Box 44317
Tacoma, WA 98444 U.S.A.

Name:_____________________________________________________

Organization: _______________________________________________

Address:___________________________________________________

City:________________________ State:_______Zip:_______________

Phone: (________)_____________________


PLEASE SELECT FROM OPTIONS BELOW

____ COLOR PHOTO AD
(You must provide standard Photo, no negs or transparencies).

40 words included.
Color Photo Ad Setup ............................................................ $10.00

Monthly Fee ........................................................................... $9.95

_____ 3 months (no refund)
w/Color Photo Ad Setup ........................................................ $29.95

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____ LINER AD (text only).

40 words included.

One Time Fee............................................................................ $5.00

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____ COMMERCIAL SERVICE/PRODUCT AD
(You must provide printed copy of logo).

40 words included.
Color Logo ad setup................................................................. $10.00

Monthly Fee ............................................................................ $19.95

_____ 3 months (no refund)
w/Color Logo ad setup ............................................................. $59.95

_____ 6 months (no refund)
w/Color Logo ad setup ............................................................. $99.95

_____ 12 months (no refund)
w/Color Logo ad setup ............................................................. $169.95

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____ 7X10 COLOR DISPLAY AD
You may provide up to 3 photos and 1 Logo plus 100 words of text.
Color Display ad setup ............................................................. $30.00

Monthly Fee ............................................................................. $49.95

_____ 3 months (no refund)
w/Color Display ad setup ......................................................... $135.95

_____ 6 months (no refund)
w/Color Display ad setup ......................................................... $249.95

_____ 12 months (no refund)
w/Color Display ad setup ......................................................... $499.95


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PLEASE ENTER YOU AD COPY HERE (Or write it on back of order form):

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TOTAL AMOUNT:_________________


CHECK Number______ ______ ______ ______

Credit Card Type: ____Mastercard ____Visa

Card Number: ______ ______ ______ ______

Expiration Date:______ /_______

Authorizing Signature:_____________________________ Date:_____ /_____ /______