HOPPY
T-Shirt & DVD Order Form
US Customers
Please PRINT and MAIL this form along with your payment to:
Tony Girardin
4825 St-Roch Nord
Drummondville, Quebec
J2B 6V4


QTY ITEM
PRICE
Total
       
_____ Hoppy T-Shirt & DVD
$35.00
_________
       

_____SMALL _____MEDIUM _____LARGE _____XL
       
* Prices in US Dollars *


Shipping Information

Name _________________________________________________
Address _______________________________________________
City _______________________________State  ______________
Zip Code  ________________ Phone # ___________________
Email _____________________________

Please Attach Paymento this form

We can accept personal checks, money orders, bank drafts and certified checks. With personal checks, please understand that we must wait until the funds clear the bank before we can ship out your order. Money orders, bank drafts and certified checks will guarantee immediate shipping.
 
Please allow 6-8 days for delvery.