www..com
[ Home ] [ Up ] [ CDs ] [ DVDs ] [ Books ] [ Contact Us ] [ LINKS ] [ Lost Films Wanted ] [ Newsletters ] [ About David W. Menefee ] [ Free Stuff ] [ Press Kit ]

 

 

 

 

ORDER FORM TO MAIL TO:

David Menefee

PO BOX 181662

Dallas, TX 75218 USA

Date_______________

Name____________________________________________________________________________

Street Address____________________________________________________Apartment_____

City_____________________________________________________________________________

State_____________ Country ____________________________________________________

ZipCode___________________ 

E-mail___________________________________________________________________________

Telephone______________________________________________________

Ship to information (if different from above)

Name:

Street:

City:

State:                                     Country:                                          Zip Code:

E-mail address:

Other

QUANTITY

TITLE

COST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: Up to (4) CDs or DVDs can be included in one package.

(For wholesale pricing, or shipping rates on more than 4 titles, e-mail davemenefee@aol.com.) 

 SHIPPING COST ON PRIORITY MAIL (INSIDE USA ONLY)        + $5.15

 SHIPPING COST ON INTERNATIONAL PRIORITY MAIL (OUTSIDE THE USA)

                                                                                            +$16.95   

 SHIPPING COST TO JAPAN ONLY                                         +$22.00

TOTAL ENCLOSED                                         =$__________

Enclosed (check one)   US POSTAL MONEY ORDER      CHECK      OTHER  

(Make check or money order out to David Menefee)