EDUCARER.org - FIRST PERSON VIDEO ORDER FORM

First Person Video
Order Form

Please print and fill out this form. Mail this form with payment to:

MovieMaker, Inc.
P.O. Box 3413
Boulder, CO 80307

Date _______/_______/_______

Please send VIDEO to:

Name _____________________________________________

Address ________________________________________ Apt# _______

City __________________________ State _______ Zip ____________

Phone (______)-________-______________

Circle Pay't Method: Check / Purch. Ord. / VISA / MC

Include Credit Card / P.O./ Check# ___________________________

QUANTITY ________ @ $90.00 each = $__________

+ 10% Shipping and Handling = $__________

Check Total = $__________

THANK YOU FOR YOUR ORDER!