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Mail to:

DP Productions Name   _________________________________________
14740 Fair Havens Rd. Address  _________________________________________
Fort Myers, FL 33908 City, State, Zip  _________________________________________
phone  _________________________________________
email   _________________________________________
date  _________________________________________
Item code: _____ Quantity: ______ Price each: _______ Total for this item: _______
Item code: _____ Quantity: ______ Price each: _______ Total for this item: _______
Item code: _____ Quantity: ______ Price each: _______ Total for this item: _______
Item code: _____ Quantity: ______ Price each: _______ Total for this item: _______
Item code: _____ Quantity: ______ Price each: _______ Total for this item: _______
Item code: _____ Quantity: ______ Price each: _______ Total for this item: _______
Item code: _____ Quantity: ______ Price each: _______ Total for this item: _______
Item code: _____ Quantity: ______ Price each: _______ Total for this item: _______
Total for items: _______
Total Quantity: ______

For 1 to 2 items add $3 for media rate or $5 for priority mail:

 _______
For 3 to 10 items add $5 for media rate or $7 for priority mail: _______
GRAND TOTAL: _______

If over 10 items, please inquire regarding shipping
Inquiries:  407-697-3534   or  dan_philgreen@yahoo.com   or   fax:  815-461-2625