Order Form

THE SAMPLE KINGS ORDER FORM

Print this page, fill out the order form below and mail it with a U.S. Postal Money Order (we do not accept checks of any kind) to:

1.) Print the required information below:

Name: _________________________________________

Street Address: _________________________________________

Apt_____________________________

City: _______________ State: ____ Zip: _________

Phone Number: (____)_________________________

E-mail address: ____________________________________

2.) FILL IN ORDER GRID: (USE EXAMPLE BELOW)

Code#	Description	Price	QTY	S/H Charge (Qty x $6.95)	Total (Price +S/H Charge)



				Subtotal
				NY Residents add .0826% Sales Tax
	International Order, outside USA			International Orders add $11.00/per DVD
				TOTAL

3.) Send Completed forms with U.S. Postal Money Order to: