MAIL / FAX ORDER FORM

SHIP TO ________________________________________________ (Please Print)

Address______________________________________________________________

City________________________  State______________ Zip__________________

Phone Number (________)____________ E-Mail Address_____________________

Item #

Qty

Description

Color/Size

Price

Total Amount
       

$

$
       

$

$
       

$

$
       

$

$
       

$

$
       

$

$
       

$

$
       

$

$

Shipping Chart (10 - 14 business days):

Shipping Amount
Flat Rate Shipping of $14.95
Merchandise Total $________
Less _____% Off - ($________ )
Discount Code:______  
Sub-Total $__________
FL Sales Tax 6% __________
Shipping + $__________
GRAND TOTAL $__________

Send Mail Orders to: J&J Entertainment

__ Check:  Drivers License #:________________(required) or Money Order __

Charge Card Number: _________________________ Exp.____/____
What is the 3-digit security code for this card (back of card): ___ ___ ___
The following must match your credit card billing address & include your signature to avoid order delays.

Cardholder Name:________________________________________

Street Address:____________________Zip Code_______________

Phone:__________________ Signature x__________________________________( required)