First Name
Last Name
Street Address
Apartment
City
State
ZIP
Country
Email Address
Your Total:
Your
subtotal
8.00%
sales tax (California residents only):
Shipping
and Handling:
United
States (USA):
$4.00 for the first DVD tape, $1.00
each additional.
Overseas/Foreign
- Special Note:
With
overseas orders we will add $10.00. By
submitting your order, you agree to allow
us to do so.
Total
Amount:
Payment
We only accept Visa
or Mastercard at this time. Charges will appear
as "SBESBE@dhdmedia.com"
on your credit card. Otherwise, we accept checks
and money orders (as well as credit cards) through
regular mail.
VISA/Mastercard
Number:
-
-
-
Expiration
Date - Month:
Year:
IMPORTANT
Before faxing or mailing your
order PLEASE re-check all fields to make sure
they're filled in properly. Including your e-mail
address is very helpful to us if we need to
contact you. If you have left this page and
returned in the middle of completing the form
it's possible the fields might have been cleared.
Print and mail to:
Becky
LeBeau / FantasyOne
9461
Charleville Boulevard, Suite 602
Beverly Hills California 90212
