DVD Order
Form
To place an order by mail, print this page and send it to us at Thumbs Up Video, 9782 Santiago Bl, Villa Park, CA 92861 (714-998-4004)
Or fax it to (714) 998-4285 with your credit card #. Include your check or money order, and include the costs shipping and tax if applicable.
Name_________________________________________________________________
Address_________________________________________________________
Phone____________________________________________
City____________________________________________________
State___________________ Zip_______________
DVDs Ordered: ...............................................................Price
__________________________________________ _________
__________________________________________ _________
__________________________________________ _________
__________________________________________ _________
Subtotal _____________
Tax _________________ (7.5% in CA)
Shipping_____________
Total__________________
You may also pay by MasterCard, Visa, Discover or American Express if you
wish not to email your credit card information.
Check #____________________________
Credit Card #__________________________________________ Exp______________
Signature_________________________________________________________
Your billing zip code_______________________ Your 3-digit security code on the back of your CC____________
Thank you for your order. if we have stock on the DVDs you have ordered, we will be shipping in less than 48 hours.