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"ORDER FORM"

DVD NUMBER___________________________________________________________ DVD NAME:____________________________________________________________ HOW MANY:_____________________________________________________________ COST:_________________________________________________________________ POSTAGE: $5.50 For 1-2 dvd's, $.50 for each additional;(USA)__ For international orders, 13.00, for up to 5 dvd's without a postage change. 6 and up, are $.50 each. ______________________________________________________________________ TOTAL:________________________________________________________________ YOUR NAME:____________________________________________________________ ADDRESS:______________________________________________________________ ______________________________________________________________________ CITY/TOWN:____________________________________________________________ STATE:________________________________________________________________ ZIP CODE:_____________________________________________________________ TELEPHONE:____________________________________________________________ EMAIL:________________________________________________________________ MY NAME: PK's Provideo Services, 13510 Alberta Ave., Port Charlotte, FL. 33981 TELEPHONES: 941-698-1687 Home My CELL 941-830-2372. You can also reach me through SKYPE. My skype number is 941-585-0905. You can now order MIKE's VIDEO PRODUCTION's dvd using this order form. I carry all of his dvd's as well. EMAIL: trainvideoman@hotmail.com, trainvideoman007@aol.com Paypal:trainvideoman@hotmail.com______________________________________________________________________ ______________________________________________________________________