| PuertoRicanMeals.com | |||||
| MAIL ORDER FORM | |||||
| Name: | |||||
| Address: | |||||
| Telephone #: | |||||
| E-mail address: | |||||
| Order Form: 10 DVD Box Sets | |||||
| Product Code | Description | Unit Price | Quantity | Amount | |
| Box Set | 10 DVD Box Set | $49.99 | |||
| Product Discount Code : | Subtract Discount Amount | ||||
| United States Orders (Only) S&H | Add $13.98 | ||||
| Priority Mail with Delivery Confirmation. | per Box Set | ||||
| Sales Tax (Ohio Residents Only) | Add 7.5% | ||||
| Add Totals | Total Amount | ||||
| Order Form: Individual Discs | |||||
| Product Code | Description | Unit Price | Quantity | Amount | |
| 1 | DVD Disc 1 | $15.25 | |||
| 2 | DVD Disc 2 | $15.25 | |||
| 3 | DVD Disc 3 | $15.95 | |||
| 4 | DVD Disc 4 | $15.25 | |||
| 5 | DVD Disc 5 | $15.95 | |||
| 6 | DVD Disc 6 | $15.95 | |||
| 7 | DVD Disc 7 | $15.95 | |||
| 8 | DVD Disc 8 | $15.95 | |||
| 9 | DVD Disc 9 | $15.25 | |||
| 10 | DVD Disc 10 | $15.95 | |||
| United States Orders (Only) S&H | Add S&H | ||||
| Priority Mail with Delivery Confirmation. | $2.50 per | ||||
| Disc | |||||
| 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 | |||||