GuideOrder ReplacementForm by 2Mpof4CX

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									               GUIDE ORDER AND REPLACEMENT FORM:
               PROPERTIES
               Use this form to order guides for your property or to request replacement guides


               NEW HBO CUSTOMER?

     HBO
  PROVIDER
               HBO DISTRIBUTOR NAME
INFORMATION
THIS SECTION
   MUST BE     HBO DISTRIBUTOR ADDRESS                                           CITY/STATE/ZIP
 FILLED OUT
 EVERY TIME
               HBO DISTRIBUTOR CONTACT                                           CONTACT E-MAIL ADDRESS




               CONTACT PHONE NUMBER                                              CONTACT FAX NUMBER



  PROPERTY
INFORMATION
               PROPERTY NAME
THIS SECTION
  MUST BE
 FILLED OUT                                                                                                                           TYPE OF PROPERTY
 EVERY TIME    CHAIN AFFILIATION                                                 MANAGEMENT COMPANY
                                                                                                                                         HOTEL/MOTEL
                                                                                                                                         BULK BILLED APTS.
                                                                                                                                         HOSPITAL
                                                                                                                                         COLLEGE/
               PROPERTY ADDRESS                                                  CITY/STATE/ADDRESS
                                                                                                                                         UNIVERSITY HOUSING
                                                                                                                                         CORRECTIONAL
                                                                                                                                         FACILITY
                                                                                                                                         FIREHOUSES
               PROPERTY PHONE NUMBER                                             PROPERTY FAX NUMBER                                     OTHER




               PROPERTY CONTACT NAME                                             PROPERTY CONTACT PHONE NUMBER




                                                 Activate the following services
               TOTAL ROOMS/UNITS
                                                          HBO    HBO 2   HBO S     HBO F     HBO C     HBO Z   HBO L    MAX    MMAX     AMAX     TMAX
                                                 EAST

               SERVICE START DATE                WEST

                                                   CHECK HERE IF RECEIVING HD
                                                   CHECK HERE IF THE PROPERTY IS SEASONAL
               CONTRACT EXPIRATION DATE




                       Guides             Check Here To Cancel Guides
                                                                                                                Order in amount of 50
                       Quantity                                                                                 Guides are sent directly to the property
                                                                                                                Guides orders take 6 to 8 weeks
                       TIME ZONES            EAST        MT. EAST        PACIFIC                                Address must be good for postal delivery
                            (check one)      CENTRAL     MT. WEST        PACIFIC EAST


               www.homeboxoffice.com
               1-800-HBO-1HBO (426-1426)
               hbohotels@hbo.com

								
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