Hoppy DVD Order Form

HOPPY

DVD ORDER FORM

Canadian Customers

* Print this form *

Please fill out this form and send it by mail, along with your payment,
to the following address:

•

Tony Girardin
4000 rue Girardin
Drummondville, QC
J2E 0A1

QTY	ITEM	PRICE	Total

_____	Hoppy DVD NTSC, English, 24 min.	$15.00	_________

_____	Shipping & Handling	$ 5.00	$ 5.00

	TOTAL		_________

Prices in Canadian Dollars

Shipping Information

Name _________________________________________________

Address _______________________________________________

City _______________________________ Prov ______________

Postal Code ________________ Phone # ___________________

Email _____________________________

Please Attach Payment
to this form

We can accept personal cheques, money orders, bank drafts and certified cheques. With personal cheques, 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 cheques will guarantee immediate shipping.

Please allow 6-8 days for delvery.