CLASSIC SHOWS ORDER FORM
P. O. Box 924
Nederland, Colorado 80466-0924 USA
Phone: +1 303 642 7250
Fax: +1 303 642 7249
Orders: 1-888-4-NESSIE (toll-free within US)
TELL US WHAT SHOWS YOU WANT:
specify product codes
ADDITIONAL PRODUCTION ITEMS:
WHO TO:
required *
Your Name
*
Your E-mail address
*
Phone
THEATER / SITE:
Where licensed shows will be installed / presented
MESSAGE AREA:
Special instructions, Purchase Order Number, and suggestions
SHIP TO:
Planetarium/Institution/Recipient
Send as gift
to recipient
Address
*
Work
Home
City
*
State/Province
*
Zip/Postal Code
*
Country (if not U.S.)
BILL TO:
(if different from SHIP TO)
Planetarium/Institution
Address
City
State/Province
Zip/Postal Code
Country (if not U.S.)
DELIVERY:
*
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USPS
Priority Mail
First-Class Mail International
FedEx
FedEx
Bill to your FedEx account:
PAYMENT:
We accept VISA, Mastercard, and Discover cards.
Credit Card Account Number
Card Expiration Date
Month
01 (Jan)
02 (Feb)
03 (Mar)
04 (Apr)
05 (May)
06 (Jun)
07 (Jul)
08 (Aug)
09 (Sep)
10 (Oct)
11 (Nov)
12 (Dec)
Year
2012
2013
2014
2015
2016
2017
2018
2019
2020
Cardholder Name
Prefer to mail or fax your order? Here's a
Print-friendly fill-in order form
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