PRINT THIS OUT AND FAX or MAIL TO Fan's Arena

Fan's Arena  P.O. Box 65  Holmen, Wi. 54636-0065
      Office-1-(608)-385-6316   Fax-1-(925)940-9640  
E-Mail-sales@fansarena.com

PERSONAL INFORMATION (Please type or print NEATLY)

Name _______________________________________________________

Address _____________________________________________________

City ___________________________ State ______________ Zip Code ____________

Area Code ________ Telephone No. _________________ Fax No. _______________

Email Address _________________________________________________ (be VERY exact)

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SHIPPING INFORMATION (Only if different than above)

Name _______________________________________________________

Address 1 __________________________________________________

Address 2 __________________________________________________

City ___________________________ State ______________ Postal Code ____________

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PAYMENT METHOD

[ ] Personal Check   [ ] Money Order   
[ ] Visa   [ ] Mastercard   [ ] Discover  

Credit Card Number _______________________________ Expiration Date ________

Authorized Cardholder Signature ____________________________ Date ________

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YOUR ORDER (Add more lines if you need)

  Qty     Size    Color        Brief Description         Price Each  Total Price

|______|________|_______|________________________________|__________|__________|

|______|________|_______|________________________________|__________|__________|

|______|________|_______|________________________________|__________|__________|

|______|________|_______|________________________________|__________|__________|

|______|________|_______|________________________________|__________|__________|

|______|________|_______|________________________________|__________|__________|

|______|________|_______|________________________________|__________|__________|

Subtotal |__________|

Wisconsin Deliveries Add 5.5% Sales Tax |__________|

New Subtotal |__________|

Shipping and Handling (S/H) |__________|   (See our online shipping & handling costs)

TOTAL ORDER (U.S. Funds) |__________|

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Your Custom Design Comments or Special Instructions:






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INTERNATIONAL ORDERS:
E-mail or call us for the shipping rates on international orders

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ONE FINAL NOTE:
If paying by check or money order be sure to check the TOTAL ORDER. If the
payment recieved is INCORRECT, Fan's Arena will attempt to notify you. Orders will
NOT be shipped if the payment is less than it should be. If it is more then
you can choose to get store credit or a refund.

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For more information, E-mail Fan's Arena or call 1-(608)-385-6316

Fax-1-(925)940-9640

or write to Fan's Arena P.O. Box 65 Holmen, Wi. 54636-0065



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