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<META NAME="OWNER" CONTENT="stargazette@casscomm.com">
<META NAME="AUTHOR" CONTENT="Beardstown Newspapers">
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<font size="3" face="Tahoma, Verdana, Arial" color="#eeeeee"><b><a href="https://www.beardstownnewspapers.com/order.html" target="_blank">PAY ONLINE!</b></font><br>
<img src="pics/ccardlogo.jpg" alt="Logo" height="22" width="75" border="0"><br>
<font size="2" face="Tahoma, Verdana, Arial">Subscriptions</a><br>
<a href="https://www.beardstownnewspapers.com/orderclassifieds.html">Classified Ads</a><br></b></font></center></td>

<td><a href="http://www.beardstownnewspapers.com/"><img src="pics/mlogo.jpg" alt="Star Gazette" border="0"></a></td>

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<div style='width: 180px; height: 150px; background-image: url( http://vortex.accuweather.com/adcbin/netweather_v2/backgrounds/winter1_180x150_bg.jpg ); background-repeat: no-repeat; background-color: #7CADEE;' ><div id='NetweatherContainer' style='height: 138px;' ><script src='http://netweather.accuweather.com/adcbin/netweather_v2/netweatherV2ex.asp?partner=netweather&tStyle=normal&logo=1&zipcode=62618&lang=eng&size=8&theme=winter1&metric=0&target=_self'></script></div><div style='text-align: center; font-family: arial, helvetica, verdana, sans-serif; font-size: 10px; line-height: 12px; color: #0000FF;' ><a style='color: #0000FF' href='http://www.accuweather.com/us/IL/BEARDSTOWN/62618/city-weather-forecast.asp?partner=accuweather&traveler=0' >Weather Forecast</a> | <a style='color: #0000FF' href='http://www.accuweather.com/maps-satellite.asp' >Weather Maps</a></div></div></td></tr></table></center>

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<td width="20%"><span class="c1"><strong><a href="http://beardstownnewspapers.com/hp_smf/" target="_blank">FORUM</a></strong></span></td>
<td width="20%"><span class="c1"><strong><a href="" onclick="return clickreturnvalue()" onmouseover="dropdownmenu(this, event, menu1, '150px')" onmouseout="delayhidemenu()">About Us</a></strong></span></td>
<td width="20%"><span class="c1"><strong><a href="default2.htm" onclick="return clickreturnvalue()" onmouseover="dropdownmenu(this, event, menu2, '150px')" onmouseout="delayhidemenu()">Local News</a></strong></span></td>
<td width="20%"><span class="c1"><strong><a href="" onclick="return clickreturnvalue()" onmouseover="dropdownmenu(this, event, menu3, '150px')" onmouseout="delayhidemenu()">Special Ed. PDFs</a></strong></span></td>
<td width="20%"><span class="c1"><strong><a href="mailto:stargazette@casscomm.com?subject=From Website">E-mail</a></strong></span></td>
</tr></table>



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<table width="50%" border="0" cellpadding="8" cellspacing="0">
<tr><td>
<center><font size="3" face="Tahoma, Verdana, Arial" color=#c00000"><b>PAY FOR YOUR CLASSIFIEDS ONLINE<br>
WITH A CREDIT CARD, SECURELY & CONFIDENTIALLY!</b></font></center></b></font></td></tr></table>








<form method="post" action="/cgi-bin/formmail/formmail.cgi">
<input type=hidden name="recipient" value="stargazette@casscomm.com, teri@tippey.com">
<input type=hidden name="subject" value="Order Form from Website">
<input type=hidden name="redirect" value="/thankyou.html">

<p><center>
<table width="50%" border="1" bgcolor="000000" cellpadding="8" cellspacing="0"><tr align="center"><td>
<font size="2" face="Tahoma, Verdana, Arial" color="#ffffff"><b>Type In Personal / Billing Information</b></font></td></tr></table>

<table width="50%" border="1" cellpadding="3" cellspacing="0">
<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>Full Name:</b></font></td>
<td><input type="text" name="Name" value="" size="50"></td></tr>

<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>Email:</b></font></td>
<td><input type="text" name="email" value="" size="50"></td></tr>

<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>Confirm Email:</b></font></td>
<td><input type="text" name="email" value="" size="50"></td></tr>

<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>Address:</b></font></td>
<td><input type="text" name="Address" value="" size="50"></td></tr>

<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>City, State, Zip:</b></font></td>
<td><input type="text" name="City" value="" size="50"></td></tr>

<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>Phone:</b></font></td>
<td bgcolor="#ffffff"><input type="text" name="Phone" value="" size="50"></td></tr></table>

<table width="50%" border="1" bgcolor="000000" cellpadding="8" cellspacing="0"><tr align="center"><td>
<font size="2" face="Tahoma, Verdana, Arial" color="#ffffff"><b>Call 217-323-1010 if you have questions!</b></font></td></tr></table>

<table width="50%" border="1" cellpadding="8" cellspacing="0">
<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>Classified Ad Time Period:<br>
<a href="Ads.pdf">(See Rates.pdf) ---></b></font></td>
<td bgcolor="#ffffff" valign="top"><font size="2" face="Tahoma, Verdana, Arial"><b>
<input type="radio" name="Classified Ad" value="1 Week">1 Week
<input type="radio" name="Classified Ad" value="2 Weeks">2 Weeks
<input type="radio" name="Classified Ad" value="3 Weeks">3 Weeks
<input type="radio" name="Classified Ad" value="4 Weeks">4  Weeks<br></b></font></td></tr>

<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>Enter your<br>Classified Words:</b><br><br>
<i>For Sale:  60" Big Screen TV, like new ... </i></font></td>
<td bgcolor="#ffffff"><textarea name="Comments" cols="40" rows="10" wrap="virtual"></textarea></td></tr>
</table>


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<font size="2" face="Tahoma, Verdana, Arial" color="#ffffff"><b>Payment Information</b><br><br>
NOTE:  We will charge your Credit Card once we've reviewed your order.<br> Once approved, we'll send your receipt to you.  Thank you!</font></td></tr></table>

<table width="50%" border="1" bgcolor="ffffff" cellpadding="8" cellspacing="0">
<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>Method of Payment:</b></font></td>
<td><font size="2" face="Tahoma, Verdana, Arial"><b>
<input type="radio" name="Credit Card" value="MC">MC
<input type="radio" name="Credit Card" value="VISA">VISA</b></font></td></tr>

<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>Name on  Card:</b></font></td>
<td><font size="2" face="Tahoma, Verdana, Arial"><b><input type="text" name="NameonCCard" value="" size="50"></b></font></td></tr>

<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>Charge Card #:</b></font></td>
<td><font size="2" face="Tahoma, Verdana, Arial"><b><input type="text" name="CCNumber" value="" size="50"></b></font></td></tr>

<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>Expiration Date:</b></font></td>
<td><input type="text" name="ExpirationDate" value="" size="50"></b></font></td></tr>

<tr><td align="right"><font size="2" face="Tahoma, Verdana, Arial"><b>Comments:</b></font></td>
<td><textarea name="Comments" cols="24" rows="10" wrap="virtual"></textarea></td></tr></table>
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<p><center><table><tr><td><font size="3" face="Tahoma, Verdana">
<input type="submit" value="Send Order" name="submit">
<input type="reset" value="Reset" name="reset"></font></td></tr></table>
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[<a href="about.html">About Us</a>]&nbsp;&nbsp;&nbsp; [<a href="advertisers.html">Advertisers</a>]&nbsp;&nbsp;&nbsp;
[<a href="celebrations.html">Celebrations</a>]&nbsp;&nbsp;&nbsp; [<a href="classifieds.html">Classified Ads</a>]&nbsp;&nbsp;&nbsp;
[<a href="events.html">Events</a>]&nbsp;&nbsp;&nbsp; [<a href="http://beardstownnewspapers.com/hp_smf/" target="_blank">FORUM</a>]&nbsp;&nbsp;&nbsp;
[<a href="obits.html">Obits</a>]&nbsp;&nbsp;&nbsp; [<a href="sports.html">Sports</a>]&nbsp;&nbsp;&nbsp;[<a href="index2.html">Weekly News, P 2</a>]<br>
[<a href="https://www.beardstownnewspapers.com/orderclassifieds.html">Order Your Classified Online</a>]&nbsp;&nbsp;&nbsp;
[<a href="https://www.beardstownnewspapers.com/order.html">Order Your Subscriptions Online</a>]&nbsp;&nbsp;&nbsp;
[<a href="index.html">Home</a>]
<br><br>


All Material &copy; Cass County Star-Gazette<br>PO Box 79, 1210 Wall St. - Beardstown, IL 62618<br>
Phone (217) 323-1010 | Fax (217) 323-5402<br><br>


<a href="http://www.tippey.com" target="_blank">Webmaster, Tippey Designs</a><font></td></tr></table>
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