Click 'PRINT' in your browser, fill out, and send in with your payment to:
Spencer Concert Systems, PO Box 8677, Kansas City, Missouri 64114

Questions? Call 1-816-523-1618 or
Fax: 816-926-0649
Email questions to: js@concertpromoters.com

Customer Name__________________________________

Address_________________________________________

City________________________ State_________________ ZIP_____________

Phone (    )____________________ Fax__________________________

Yes! I would like to place an order right now! Please ship to me the following items,
sales tax included:

Platinum Course ________ at $249.00 = $__________

Gold Course ________ at $189.00 = $__________

Silver Course ________ at $99.00 = $__________

Shipping and handling = $10.00

Total: $__________________

Payment method:

_____ Money Order _____ Cashiers Check _____ Credit Card

If credit card:

Name on Card: _________________________

Number: _______________________________

Expire Date: __________________________

Card Type: (American Express, Visa, Master Card, Discover) (circle one)