Mail & Fax Order Form: Just Print Out...Fill Out...Then Mail or Fax
Secrets of Growing Your Own Hops--A How-To Video
Patrick D'Luzansky/dba
Odd Moment Productions
11238 Mercury Drive
Apache Junction, AZ 85220
FAX Number: 1-480-986-9292
Toll Free Hopline: 1-888-476-4677 (You may call your order in.)
Just Remember: 1-888-GRO-HOPS
Customer Name: _____________________________________
Shipping Address: _____________________________________
_____________________________________
_____________________________________
Phone Number_________________________(day)______________________(eve)
(We request the phone number in case we have a question.)
Number of Tapes______ x Price per Tape ($19.95) = $_________________
AZ Residents add 7% Sales Tax __________________
Complete Subtotal _____________________
Shipping & Handling ____________4.95
Total Amount $_________________
Check____ Money Order____ Visa____ MC____ Exp.Date ________
Card #________________________________________
Signature______________________________________
(Please make check payable to Patrick D'Luzansky)
Thank you for your order !!
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