Print Out Video Order Form

Video Order Form - - - (Please print carefully)

NAME: _____________________________________________________

ADDRESS: __________________________________________________

CITY: ___________________________ STATE / PROV. _______________

COUNTRY: ______________________ ZIP: ________________________

EMAIL: _____________________________________________________

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. . . .( . ) Those Wonderful Flxibles - - - 29.50 - - - - - Total ____________

. . . .( . ) Quartzsite Rally Video - - - .- - 29.50 - - - - - Total ____________

. . . .( . ) BOTH VIDEOS - - - - - .- ..- . . .- 54.50 - - - - - Total ____________

Prices INCLUDE USPS Prioriy Mail Shipping (US)
Canadian orders add 3.75 per order. US funds. - - - - ..... . . .. Shipping __________

- - - - - - - - - - - - - - - - - - - - - - - - - - - ..... . . . . . . ... Total Order __________

THANK YOU! for your order. Videos are normaly shipped within 24 hours of receipt of order and double boxed to insure safe arrival.

Please print out this form and mail your check or money order
to:

Bud Hoover
21607 RT 6
Port Allegany, PA 16743

Direct CC Orders Please call 814-642-7901 to place your order.

We Also Accept Credit Card payment by PayPal

NOTE: To pay with PayPal please use
thelookout@verizon.net for payment address.