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Form preview Amc national sales order form... National Sales Black Order Form Order Online at amcnationalsales. com AMC products are good at AMC Theatres in the U.S. Account Number Date Member Company Contact/Program Coordinator Email Address Shipping Address no PO Boxes CityState Zip Phone Ext. Authorized Agent. Member acknowledges and agrees that its designated authorized agent who will be designated on each National Sales Order Form as the Program Coordinator is an agent and/or an employee of Member and is authorized to purchase AMC CPS tickets on Member s behalf under the Program. Member may change its designated Program Coordinator from time to time by written notice to AMC CPS in advance of such change. The Terms Conditions on the reverse side are incorporated herein by this reference. In the event of any inconsistency or conflict between the terms of this order form and the provisions of the Terms Conditions the latter shall prevail. In witness whereof the parties to this agreement have caused it to be duly executed effective as of the date stated above. YOUR COMPANY AMC CARD PROCESSING SERVICES INC. Signature Name print Title TIM ANDERSON Name VP NATIONAL SALES NATIONAL GROUP SALES PLACE YOUR ORDER Online www. YOUR COMPANY AMC CARD PROCESSING SERVICES INC. Signature Name print Title TIM ANDERSON Name VP NATIONAL SALES NATIONAL GROUP SALES PLACE YOUR ORDER Online www. amcnationalsales. com Fax 913/317-5420 Mail 13731 Collections Center Drive Chicago IL 60693 Orders can only be placed via online fax or mail. All pre-paid rush orders must be submitted online or via fax. Questions please call 800/AMC-4TIX or 800/262-4849 or email nationalsales amctheatres. com 07/28/16 IMPORTANT- PLEASE READ CAREFULLY The following provisions form the basis of the National Sales Program Program relationship between AMC Card Processing Services Inc. an Arizona corporation with principal offices at 11500 Ash Street Leawood KS 66244 AMC CPS and the individual or entity indicated on the face of the by these provisions and it is the responsibility of Member to read understand and comply with all of them. 1. SIGNATURE REQUIRED for all shipments. PAYMENT TOTAL DUE Check payable to AMC CPS - first class mail takes approximately one week for processing - no personal checks accepted Credit Card please fax form to 913-317-5420 then call 800-AMC-4TIX and choose option 2 to phone in your credit card payment TERMS CONDITIONS Signature required for every order. Fax Promo Code Check here to set up a NEW account 1st orders ONLY PRODUCTS AMC Movie Bundle Black Exchange Tickets Drink Show Snacks Popcorn Show Gift Cards Check here for address corrections SUBTOTAL PRICING QUANTITY 29. 50 each x minimum purchase 25 then bundles of 25 2 AMC Black Tickets 2 Drink Show Snack Vouchers 10. 25 each x one admission one 20 ounce fountain drink or credit toward a larger size. one small popcorn or credit toward a larger size valid for movie tickets and concessions CHECK HERE FOR FREE CARD CARRIERS 3. 00 each x each x Please choose the quantity of cards and the value. Customized Gift Card various card designs available for purchase online only at amcnationalsales.

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