Amazon's Prod Print Order Form

Amazon's Prod - 44, rue Henri-Barbusse - 94800 Villejuif - France

Printable Order Form

SHIP TO:

BILL TO:

Name: _______________________

Co. Name: _______________________

Address: _______________________

City:___________________ State:___________

City:___________________ State:__________

Zip:__________ Country:_______________

Zip:__________ Country:_________________

PAYMENT METHOD (Euro only) :
Check#:_______ Amt. enclosed: ___________	Phone: (____) -______-________
Email Address; _____________________	Fax Number: (____) -______-________

Just print out this form and fill in the details and then Mail it in. Thank You.

Make Check payable to Amazons-Prod, Inc.

Please supply the following items
AMP	PRODUCT DESCRIPTION	Format: VHS/PAL or DVD-R	QTY	Price	NTSC (add 6 € to each video )	TOTAL AMOUNT
.	.	.	.
.	.	.	.
.	.	.	.
.	.	.	.
.	.	.	.

Shipping & Handling Charges: included	SUBTOTAL
Ordered by x	TOTAL DUE
Approved by x	Date:	.
To order by check, (we are not responsible for cash in the mail, but we do accept it) print out the order form and send in to our address. Money Orders are processed upon receipt, checks are held till they clear the bank. It helps if you give us your emailing address if we have any questions for you. It's quicker than having to write you back.

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