Ja-Dance Instructional DVDs AFTER COMPLETING THIS FORM, HIT "PRINT" ON YOUR BROWSER BAR.
Your Information Name: Street Address: City: State: Zip: Phone: Email: (required)
ORDER INFORMATION
Cost
Amount
$
Shipping & Handling 1 DVD - $7 2 DVDs - $8 3 DVDs - $9 4 DVDs - $10
Total Amount Enclosed
Your Order will be shipped within 5-7 business days of receipt Make Checks payable to "Dancing For Life-DVD"
AFTER COMPLETING THIS FORM, HIT "PRINT" ON YOUR BROWSER BAR.
Mail Order Form with payment (payable to "Dancing for Life-DVD") to: JA-Dance Video Order 6308 South Birch Avenue Broken Arrow, OK 74011