Palyul Productions Order Form

Name:

Address:

 

City:

State:

Zip:

Phone:                                                                        Daytime   Evening  (circle one)

Order Date:

 

Quantity

Item #

Title / Description

Total Cost

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal:

 

Postage & Handling:
10% of subtotal, minimum of $4.50 for continental United States
20% of subtotal, minimum of $9.50 for Alaska, Hawaii, and foreign orders

 

Total Cost

 

Print this form, and send it with payment to:
 
Palyul Productions, c/o KPC, 18400 River Road, Poolesville, MD  20837
Phone Toll-Free: 1-800-775-8272