PuertoRicanMeals.com
	MAIL ORDER FORM
	Name:
	Address:
	Telephone #:
	E-mail address:
	This is a tremendous value at a CLOSE OUT PRICE.
	Order Form: 10 DVD Box Sets
	Product Code	Description	CloseOut Price	Quantity	Amount
	Box Set	10 DVD Box Set	$24.95
	United States Orders (Only) S&H			Add $9.95
	Priority Mail with Delivery Confirmation.			per Box Set
	Sales Tax (Ohio Residents Only)			Add 7.5%
	Add Totals			Total Amount
	Instructions:  Print & fill out the form.  Mail the form as well as the payment
	(U.S. payable Money Order). Once we receive your payment,
	please allow 2 – 4 weeks delivery (Delivery time includes a 10 day
	waiting period for payment to clear).
	Mail Form and Payment to:		Memories DVD Transfer, LLC
			P.O. Box 224
			North Olmsted, Ohio 44070