ORDER FORM
01. HOW TO ORDER
Please
complete this form
,
print it
, and
send it in
along with a check, money order, or purchase order to:
JOSH SHIPP PRODUCTIONS
PO BOX 530
LOS GATOS CA 95031-0530
02. YOUR INFO
03. RATES
Item
Quantity
Size
Price USD
Total
Straight Jacket DVD
$10
Empower Films
™
T-Shirt
$15
Subtotal
Shipping
$2.50 per item
GRAND TOTAL
Please make payments payable to JOSH SHIPP PRODUCTIONS