9-11 DBCC Order and I800/E800 Listing Form

     The interactive CD with callable downtown business directories
           is named Downtown Business Calling Card (DBCC)

To order a copy of this Interactive 9-11 Memorial CD, please pay by credit
card (Amex, Discover, MasterCard or Visa) through IPO2U's secure payment
system. Click Here for Credit-Card Payment (Only limited quantity available)


I. Customer Information: (All Fields Required)

 First Name: _____________________

 Last Name: ______________________

 Company Name:_____________________________________________________

 Company Address*: ___________________________________________________ 

 City: __________________________

 Phone*: __________________________

 State: _________________________

 Fax*: ____________________________

 Zip: ___________________________

 Email: ___________________________

 Country: ____________________

 

   * Indicate Company or Personal

   * Indicate Company or Personal 

II. Listing Information: (List Phone Number in DBCC I800/E800 Directory)(Optional)

 Web Site URL: 

 Phone No. To be listed:

  1. http://________________________

  1.  ( ____ ) - _____- ______

  2. http://________________________

  2.  ( ____ ) - _____- ______

  3. http://________________________

  3.  ( ____ ) - _____- ______

 

International Calling Code:  ( _______ )

  Business Category to be listed in: 

     Main Category:________________ 

Sub Category:  ________________ 

 

 

III. . 9-11 DBCC Order Information:  (Please Note Cut Off Date for Low Price is 9-15-2002)
 

     1.  Bulk Order Quantity: _______________ $ Amount: _______________ 
                   (>1000, $4 Per Copy,  >100, $6 Per Copy, >10, $8 Per Copy) 

     (Price Includes Sales Tax, Shipping Cost Extra, Domestic $3.95, International TBD)

2.  Order for 1-9 Copies $10 per copy (40% Discount for Downtown Business, $6)

            (Sales Tax and Shipping Cost Extra, Cut Off date is 10-15-2002)

         Order Quantity: _______________  $ Amount: _____________

3. Payment Method: By Check _________ Credit Card ____________

        Credit Card Type: __________ Cardholder Name: _____________________

        Credit Card No. _________________________ Expiration Date: _________

4.  Send Order by email to info@ipo2u.com  
         or 

5.  Use On-line order form at www.mi-card.com/9-11dbcc/dbcc_order.html

6. Order Correspondence:

Name: ____________________________

Email: ____________________________

 

 

  Note: Email must be correct to receive confirmation and correspondence
           For On-Line Order, go to: www.mi-card.com/9-11dbcc/dbcc_order.html

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