| CNX Radio Inc.
Connecticut's Female Owned / Operated Rock 'N Roll & High School Sports Station
:
Order Form For CD Game Copies
Copy Sets Are $ 25.00 Each
( $ 20.00 Each Set If You Order 2 or More Sets )
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Print This Page First
Each Copy Set Contains 2 CDs l 6% CT Sales Tax / USPS Priority Mail Postage With Delivery Confirmation Included
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YOUR NAME
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MAILING ADDRESS
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TELEPHONE # WHERE WE CAN REACH YOU
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Forms Of Payment
[ ] Check Attached ( Payable To CNX Radio ) [ ] Pay By Credit / Debit Card
NAME ON THE CARD
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TYPE OF CARD : [ ] MC [ ] VISA [ ] AMEX [ ] DISCOVER
CARD # EXPIRATION DATE :
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PERSONAL I.D. # ( 3 Digit # On The Back Of The Card )
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YOUR E-MAIL ADDRESS
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WE CAN PRINT YOUR SON'S OR DAUGHTER'S NAME ON THE OUTER CD WRAPPER. PLEASE WRITE HOW YOU WOULD LIKE HIS / HER NAME TO APPEAR :
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You Will Receive A Written Confirmation Via E-Mail When Your Credit / Debit Card Is Charged. If You Do Not Have E-Mail, We Will Print The Credit / Debit Card Confirmation Information And Mail It To You USPS.
Mail This Form To :
CNX Radio Inc. l 25 Clinton Avenue l Middletown, CT 06457
You Can Also Call Your Order In By Phone For Credit / Debit Cards
( 860 ) 490-5647
Please Contact Us At ( 860 ) 490-5647
To Inquire About 2008 - 2009 & 2009 - 2010 Football / Basketball Games Available For Purchase |