Joyful Brush® Video

Credit Card Order Form
Click here for ordering with check by mail

Price: $ 20.00 for either DVD or VHS
Shipping: $ 5.00 + $ 3.00 for each additional

A confirmation email will be sent when I receive your order.
* required
* Name
* Billing Address
* City / Town
* State / Province
* Zip / Postal Code
Country
* E-mail
* Phone Number (include area code)
* Shipping Address
if different from billing address
* City / Town
* State / Province
* Zip / Postal Code
* Video Format:
 DVD - Quantity @ $ 20.00 each
VHS - Quantity @ $ 20.00 each
* Sub-total
$
* VA residents add 5% sales tax to Sub-total
 $
* shipping: $ 5.00 + $ 3.00 for each additional
 $
* Total
 $
* Credit Card
* Card Number
* Expiration Date
 /
Special Instructions:
Privacy policy: We do not and will not share any information gathered
here with other people or organizations.

Thank you from Virginia

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