TO ORDER BY MAIL OR FAX:

BY MAIL SEND COMPLETED FORM TO:

WASHINGTON COUNTY FAIR
P.O. BOX 711
ABINGDON, VA. 24212

 BY FAX 1-276-628-1010 PLEASE SEND COMPLETED FORM  

NUMBER  __________  SEASON TICKETS @ $35.00 EACH  __________________

PROCESSING FEE & MAILING FEE                                     ______$1:00________

TOTAL FOR ORDER                                                              ___________________

PAYMENT METHOD:

__________ CHECK OR MONEY ORDER

__________ CREDIT CARD ____ MC ____ VISA ___ DISCOVER

                   CARD HOLDER NAME __________________________
                   (EXACTLY AS IT APPEARS ON CARD)

                    CARD NUMBER ________________________________

                    EXPIRATION DATE _____________________________

                    3 DIGIT SECURITY NUMBER ____________________
                    (ON BACK OF CARD FOLLOWING CARD NUMBER)

MAILING INSTRUCTIONS:

NAME ____________________________________________________________

STREET OR P.O. BOX ______________________________________________

CITY, STATE, ZIP __________________________________________________