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| Payment Options: Payable in U.S. dollars to Ava Awards |
Print entry form(s), and send with entry(ies) and payment to: |
Check Visa MC Discover American Express
Government entrants may call for other payment options. |
| Card # |
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Ava Awards
2320 Superior Dr., Ste. A
Arlington, TX 76013
Phone 817-276-9829 |
| Card Expiration: |
Month(MM): / Year(YY): |
| CCV Code |
(Last 3 digits on back of card, Visa and MC Only.) |
| Name on Card |
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| Cardholder Zip Code |
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Signature: ___________________________ |
| Email Address for Receipt |
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