Dells Party Card

Indian Trail Motel

Pizza Pub

Dells Fun Card Ad

Fill In The Form Below And Click On The Print Form At The Bottom.
Fax Completed Form To 608-253-3521.  Your Confirmation will be emailed.

1) Select Payment Method
Electronic Check
Card Number:
Card Verification Number (3-4 digits): 
Expiration:
month   year
Name On Card:
Billing Address:
(Continued):
City:
State: Zip Code:
Country: United States

 

3) Select Number of Cards And Delivery Method & Total It At The Bottom.

Cards X $10.00 = $

$1.00 First Class Mail
$ 4.00 for Priority 2-3 Day Mail
$ 15.00 for Overnight Delivery
$ 0.25 for Local Pickup
Total To Be Charged $

2) About You

Your Name:

Your Phone:
Your Email Address:
Your statement will reflect a charge to
Edells Marketing

 

4) Deliver to:

Same as Billing Address
Ship-To Name:
Address:
Address (continued):
City:
State: Zip Code:
Country: United States

Signed X___________________________

Click Here To Print Form

 

  1013 Broadway, Wisconsin Dells, WI 53965  • 1-866-WI-2for1 • info@dellsfuncard.com

©2008 Dells Fun Card. All Rights Reserved.