ORDER FORM

ORDER FORM

Please print this order form or copy/paste it to a new message in your email program.

Then simply mail it, email it, or fax it . . .

Mail: WGSjostrom Co. Ripple Creek Drive Moreno Valley, CA 92557-1821

Email: BillSjostrom@wgsc.com

Fax: 951.924.8431

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Please Send Start-up Materials "Guerilla Videos For Fun and Profit" TO:

Name___________________________________________________

Address_________________________________________________

City__________________________ State_______ Zip____________

Email Address____________________________________________

Phone Number ____________________________________________

How Did You Find Us? ____________________________________

*Please check one of the following payment options:

[ ] Enclosed is a check or money order for $39.95 plus $6 s/h ($45.95)
CA residents only add $3.10 tax ($43.05).

[ ] Charge my VISA or MasterCard $39.95 plus $6 s/h ($45.95)
CA residents only add $3.10 tax ($43.05).

Card Number ________________________________________________

Expiration Date ____________

Signature ____________________________________________________

Note: All orders from outside continental U.S. please pay by money order, U.S. Funds, and
add $5 to regular S&H charges. Sorry no C.O.D's.

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Please send WGSC your comments.