Order Form

JP Productions    www.jpproductions.com
RR2 Box 426   New Martinsville, WV 26155-9453 USA
Phone 1-304-337-9019 / Fax 1-304-337-8713

Caution! At this point in time you cannot E-Mail us an order using this order form. You may E-Mail us an order - but you will have to do this directly in the E-Mail box. If you have concerns about this, click here. If you want to fill out this form using the computer, it must be filled out completely and then printed. If you fill it out in part and then go back to anything, you will lose the information that was typed in. You may choose to print out the following form and fill it in by hand. You may then mail or fax us your order using this order form. Use more paper if needed or print additional forms.

Ship to
Address
City State Zip Code
Phone and Fax  Remittance Enclosed
 Bill my Visa Card      Bill my Master Card      
 Bill my American Express      Bill my Discover Card       Expiration Date
Account Number (all digits)
Signature
Prices reflect cash purchases. Purchases using Visa, MC, American Express or Discover are 6% higher.

Quantity Item # Description
Print clearly names, dates, etc. to be embossed on books
Total Price

Total Price from Above  
WV Residents add applicable sales tax  
Shipping, Handling and Insurance using the United States Post Office is 13.00. If you want your package shipped via UPS [United Parcel Service],  please add an additional 4.00. This will make the Shipping, Handling and Insurance amount a total of 17.00. Please add the shipping to the Total Amount below.

Total Amount      

Thank You!



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