How Can You Get Your

Fantasy Football Draft Kit?

You may use your MasterCard or Visa to order on-line on a secure server by clicking here or by phone, 724-836-7242.

You may also print this form and fill it out with your MasterCard or Visa numbers and fax it to 724-836-7242 or write a check and mail it with the form to EZDraft, 157 Janyce Drive, Greensburg, PA 15601. Please allow extra time for checks to clear.

Name:
Address:
City:                                                    State:                    ZIP:
Charge Card Info:       [           ]  MasterCard     [           ]  Visa
Number:
Expires:
3-Digit Verification Number: (The last three digits in the signature panel on the back of your credit card.)
Phone Number:
Fax Number:
Email Address:
Your Draft Date:
[      ] EZDraft Kits at $20 Each, plus $8.00 Each Shipping and Handling	$
[      ] Defensive Labels at $8 Each	$
[      ] NFL Coaches Labels at $2 Each	$
[      ] NFL Offensive Line Labels at $2 Each	$
[      ] NFL Special Teams Labels at $2 Each	$
Add $4 Shipping and Handling Each if not purchasing a EZDraft Board	$
[      ] NFL Fantasy Playoff Draft Kit at $10 Each, plus $8 Each Shipping and Handling	$
Add $18 for Rush Shipping	$
PA Residents Must Add 6% Sales Tax:	$
Total Due:	$
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