Printable Order Form

Customer Information

Name

Address1

Address2

CityStateZip

Video Information ( If ordering DVD's please specify DVD next to # ) ( eg. GL34DVD )

Video# Price$ Video# Price$

Video# Price$ Video# Price$

Video# Price$ Video# Price$

Video# Price$ Video# Price$

Video Total$

Total Price$

Payment Information ( Check box )

Money Order Check Visa Discover Mastercard

Credit Card#

Expiration Date

Mailing Information

Mail Order form to :

RD Sales LLC
POB 66.
Folcroft PA 19032

or Fax to:

610-638-1285