Friendship Discount Application

Please print and mail this form to WTE:

Please send a Friendship Discount purchase order for the following business selected from the Goods and Services listings:

Business Name:___________________________

Address:________________________________

We request a face value of $_________ on this purchase order.

Please charge our MC______    Visa______ card 90% of the above face value.

 My Name:______________________________

Card holder name:________________________

Card holder signature:_____________________

Card number:___________________________

Expiration date:_________________

Street:_________________________________

City:__________________    State:__________

Telephone:_____________________________

Fax (if any):____________________________

Please mail or fax this application to WTE at the fax number as shown in Contact Us.