SHOSHANNA'S
- ALL-PURPOSE PRINTABLE ORDER FORM -
ORDERED BY
Name:v  
Street Address:v .
City, State, ZIP: v  
Phone Number:v .
Email Address:v  
Description
Quantity
Total Price
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v    
v    
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METHODS OF PAYMENT
Please DO NOT send cash;
send check or money order.
- You may also order with PayPal -

SUBTOTAL
v
Shipping
v
CA Sales Tax 9.0%
v
TOTAL ENCLOSED
v
Please mail this along with your check or money order made out to
Shoshanna, P.O. Box 1086, Arcata, CA 95518

SHIPPING INFO
$3.00 for
1-3 DVDs
Please email for info on shipping more
or for international shipping.

Please allow 1-2 weeks for shipping.
Thanks!

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