Great Places in South Jersey
Mail Order Form
Directions: Please print this page.
send me __________
or _____________ VHS
tape (same price)
Complete this form and mail with a check or money order made payable to Clay Mikolasy for $14.99 + $5 for shipping & handling using UPS Ground or USPS Priority Mail in the US = $19.99 total for 1 video (New Jersey residents please add $1.05 for 7% NJ Sales tax = 21.04 total for NJ residents). International orders, please email to make arrangements before ordering.
$_________________ Total amount enclosed
Please print neatly!
Your Name ________________________________________________
Your Mailing Address
Daytime phone (optional) _____________________________________
Mail this form with your check or money order to:
712 Glenside Rd
Millville NJ 08332
© 2013 Clay Mikolasy, Producer of "Great Places in South Jersey" for further info, email