web space | free website | Web Hosting | Free Website Submission | shopping cart | php hosting

 

  "FIFTHPLANE PRODUCTIONS"
Order form

(K.Medley * 8018 Hickman ave * New Orleans, LA 70127) (504)243-5218 * (504)250-1687

--------------(form must be printed, completed, and sent to the address above along with your payment)------------------

NAME (First, Last)______________________________         PHONE NUMBER ______________________

ADDRESS _____________________________________       EMAIL ADDRESS_______________________

CITY_________________________          STATE_____           ZIP CODE________________  

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

PRODUCT(‘S) ORDERED

ITEM(desc.) _________________________ QUANTITY_______ (x)PRICE___________ = TOTAL__________

ITEM(desc.) _________________________ QUANTITY_______ (x)PRICE___________ = TOTAL__________

ITEM(desc.) _________________________ QUANTITY_______ (x)PRICE___________ = TOTAL__________

ITEM(desc.) _________________________ QUANTITY_______ (x)PRICE___________ = TOTAL__________

ITEM(desc.) _________________________ QUANTITY_______ (x)PRICE___________ = TOTAL__________

ITEM(desc.) _________________________ QUANTITY_______ (x)PRICE___________ = TOTAL__________

-----------------------------------------------------------------------------------------------------------------------------------------------------------

METHOD OF PAYMENT (please circle)    Check    Cash     Money Order                        SUB TOTAL_____________
 
                                                                                                                                                    TOTAL_____________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

 
Important: Please Allow 3-1 week, depending on location, for delivery for cash and Money Orders. Allow 1 to 2 weeks for delivery when paying by check.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Thanks for Purchasing Products from FifthPlane Productions!
(Please email if you have any questions, comments, or concerns) Peace, Love and Hiphop!!

 

    FifthPlane Productions 2001 all rights reserved