| RUTHERFORD COUNTY FLAG ORDER FORM |
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This is the official Rutherford County Flag
as adopted by the Rutherford County Commision in August 2004. To purchase one or more, print this form and fax or mail to Screen Art. For additional information or to obtain pricing for large quantities, contact Mike Bickford at 615-890-7511. |
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CONTACT INFORMATION- ORGANIZATION_____________________ P.O.#_____________________ NAME_____________________________ PHONE#___________________ ADDRESS__________________________ TAX EXEMPT?_______________ CITY, STATE,ZIP______________________________________ TAX I.D.#__________________ |
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ORDER INFORMATION-
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PAYMENT INFORMATION- CHECK # _________ AMOUNT_____________ ENCLOSED?________ CREDIT CARD #__________________ EXPIRATION DATE ___________ MASTERCARD or VISA (circle one) NAME ON CARD________________ SUBMIT TO: SCREEN ART - 502 SUNSET AVENUE, MURFREESBORO, TN 37129 PHONE: 615-890-7511 FAX: 615-895-1553 |
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