Great Places in South Jersey

Mail Order Form 

Directions: Please print this page. 

send me  __________ DVD       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:
Clay Mikolasy
712 Glenside Rd
Millville NJ 08332

2013 Clay Mikolasy, Producer of "Great Places in South Jersey"                    for further info, email

back