2007 Simply Southern Scrapbook Convention Fax Order Form

Please fill out completely and fax to 615-217-3738.  Incomplete forms will not be processed

1^st choices:

2^nd choices:                                                                                          

Payment information:

Credit Card Type: Mastercard            Visa              Discover             Am Express

Name on Credit Card: __________________________________________________

Billing Address: ______________________________________________________

                                   _______________________________________________________

ZIP: _______________________

Phone Number: (______) _________________________

Email: _______________________________________________________________

Name of Person Placing this Order: _______________________________________

If you would like for SSPI to call you and get your credit card number via telephone, please provide a time of day to call.

Tickets are subject to availability and the order will be placed at the time that we call for credit card information.