ORDER
I would like to purchase the following video(s): 1 2 3 4 5 6
(Please circle your choices.)
Your mailing address:
Name __________________________________________
Street Address ___________________________________
City ______________________________ State ______ Zip ________
Email: ________________________________
Shipping address, if different from above:
Name __________________________________________
Street Address ___________________________________
City ______________________________ State ______ Zip ________
Enclosed is my payment for $_________for the _________ video(s) circled above. (Refer to chart below.) You may pay by check (made payable to Jay Bartol), cash, money order, or PayPal. No credit cards, please.
|
1 Video |
2 Videos |
3 Videos |
4 Videos |
5 Videos |
6 Videos |
|
$17 |
$34 |
$51 |
$68 |
$75 |
$92 |
Desired videotape format?
VHS (USA TV standard) or VHS
Mail this completed order form, together with your payment, to:
Jay Bartol