Make checks/money
orders payable to: Dawg Media, P.O. Box 780339, Orlando, FL 32878-0339
Allow 4-5 days for delivery by US Postal Service by Priority Mail.
Checks take 21 days to clear bank, so we suggest you use a money order otherwise
your shipment will be delayed for 3 weeks.
Name________________________________________________
Address________________________________ Apt #__________
City_______________________ State_______Zip_____________
Phone # or Email Address
_________________________________________
(Needed just in case there is a problem with the order)
DVD 1: ______________________________
+ $5 = _____________
DVD 2: ______________________________ + $2 = _____________
DVD 3: ______________________________ + $1 = _____________
DVD 4: ______________________________ + $0= _____________
DVD 5: ______________________________ + $0= _____________
DVD 6: ______________________________ + $0 = _____________
DVD 7: ______________________________ + $0 = _____________
DVD 8: ______________________________
+ $0= _____________
DVD 9: ______________________________
+ $0= _____________
DVD 10: _____________________________
+ $0= _____________
DVD 11: _____________________________
+ $0= _____________
DVD 12: _____________________________
+ $0= _____________
Total __________________________
SIGNATURE REQUIRED (I am over 18 years of age)
X_________________________________________