Sporthorse.com Semi-Secure Order Form

This form uses a SEMI-SECURE method for ordering online with a
VISA or MASTERCARD, by sending half of your credit information at a time,
it is virtually impossible for someone to intercept both messages,
because each time the message is sent to a new IP address!



FOREIGN ORDERS Please call 1-253-539-2761


Ways to Order



Name:		  [REQUIRED]

Company:	

E-mail: 	  [REQUIRED]

Phone:  	  [REQUIRED]

Address:	  [REQUIRED]

City:		  [REQUIRED]

State:		   [REQUIRED]    ZIP:    [REQUIRED]


PLEASE SELECT FROM OPTIONS BELOW

40 WORD LINER AD

40 word Liner Ad

One Time Fee ............................................................. $5.00
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 ......................................... $24.95
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
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

Total Amount: 

PLEASE ENTER YOUR AD COPY HERE:



Personal Checks or Money Orders must be U.S. Funds Only
& Payable to ACCESS Design, Inc.
Foreign orders call 1-253-539-2761
PLEASE NOTE: Credit Card Orders will be charged when order is received.

Choose Your Payment Method:
Check or Money Order. . . or . . .Credit Card




































PAYMENT BY CREDIT CARD

For online credit card orders, complete the following two steps. In that way your complete credit card information will not be contained in one message. Information is deleted from our server immediately upon order processing.

Or if you prefer, call 1-888-525-6655 to place your credit card order. (Mention the WWW)


STEP 1:

Please provide the following information:

Credit Card Type:    Mastercard    Visa

First 8 Digits of CC# (no hyphens): [REQUIRED]






STEP 2:



Remaining Digits of CC#: [REQUIRED]

Name on Card:		 [REQUIRED]

Expiration Date:	 [REQUIRED]

E-mail: 	          [REQUIRED]






Remember to mail photo or artwork to:
ACCESS Design, Inc.
P.O. Box 44317
Tacoma, WA 98444

Also send a note with your name and address for photo identification.

Thank You for Your Order!


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