Remit to:
Great Plains Directory Service
Jamestown Business Center - Suite 220
300 2nd Ave NE
P.O. Box 1931
Jamestown, ND 58402-1931
Name and Address Information: |
||
| Name: | |
|
| Mailing Address: | |
|
| City, State, & Zip: |
|
|
Form of Payment: |
||
| Check: | ||
| Visa Card: | # |
Expiration Date: |
| MasterCard: | # |
Expiration Date: |
| Phone Number: | ||
Plat Book/Directories or Wall Maps You Wish to Order: |
||
| County: | Quantity: | |
| |
||
| |
||
| |
||
| |
||
|
Add 10% for Tax & S/H |
$ | |
|
Total Due |
$ | |