TIX On-Line - ORDER PAGE

FAX ORDERS ACCEPTED WITH CREDIT CARD ONLY

PRINT THIS FORM
TO MAIL OR FAX
(803) 279-3199

Tix On Line
PO Box 6727
N. Augusta, SC 29861-6727

AUGUSTA'S GALLERY PASS
NAME:	_______________________________________________
ADDRESS:	_______________________________________________ _______________________________________________
CITY/ST/ZIP:	_______________________________________________
ADDRESS:	(______)________________________________________

Present your TIX On-Line receipt at the Augusta Visitor Information Center. You can reach the Center at 560B
Reynolds Street (inside the Augusta Museum of History), Augusta, GA 30901, (706) 724-4067.

AMOUNT	DATE	$ EACH	$ EXT	$ TOTAL
_________	AUGUSTA AREA ATTRACTIONS	$ 22.00*	______	$_______
	EXPECTED DATE OF TOUR _____________________
	TICKET SUB-TOTAL			$_______

*A TICKET CONVENIENCE CHARGE HAS BEEN ADDED

DELIVERY OPTIONS
( )	Will Call/Hold	No Charge	( )	UPS Ground	$ 15.00
( )	US Mail	$ 3.50	( )	UPS Next Day*	$35.00

* Next Business Day and Order Received By 2 pm (ET). Restrictions apply in some delivery areas

TICKET SUB-TOTAL	$ ________________
DELIVERY OPTION	$ ________________
ORDER TOTAL	$ ________________

ENCLOSE CERTIFIED CHECK/MONEY ORDER PAYABLE TO: Tix On Line
OR COMPLETE FOLLOWING FOR CREDIT CARD ORDERS

CIRCLE ONE:	VISA MASTERCARD AMEX
CC NUMBER	___________________________________________________
CVM CODE:	______ (3 or 4 digit number on front or back of credit card) WHAT's THIS?
EXPIRATION	MO: ________ YR: __________
NAME:	___________________________________________________
BILLING ADDRESS:	___________________________________________________
CITY/ST/ZIP:	___________________________________________________

__________________________________________________________________________
SIGNATURE REQUIRED FOR CREDIT CARD ORDERS
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