MAIL ORDER FORM

Print this order form then simply mail it to...

DeFiore Enterprises
5640 North Marty Avenue, #182
Fresno, CA 93711

Make checks payable to: DeFiore Enterprises.

 
I am ordering the following DVDs/CDs:

Quantity           DVD/CD Title

_______          _________________________________________________

_______          _________________________________________________

_______          _________________________________________________

_______          _________________________________________________

_______          _________________________________________________

_______          _________________________________________________

 

Name: __________________________________________________________
Address: ________________________________________________________
City: _______________________     State: __________      Zip: _____________
Telephone: _______________________________________________________
Email Address: ___________________________________________________
How did you hear about us?__________________________________________
For orders under $35 add $6.00 for shipping, over $35 add $11.00 for shipping. Shipped by USPS Priority Mail.

[ ] I have enclosed a check or money order for $_____________________