ONLINE PRINTABLE PURCHASE ORDER
INTERMARK PRODUCTIONS
11125 PARK BLVD. SUITE 104-104
SEMINOLE, FLORIDA 33772-4700
727-804-3005 PHONE
727-367-2402 FAX
INFO@EXTREMEFEET.COM
ORDER ONLINE AT WWW.EXTREMEFEETVIDEOS.COM

SHIP TO INFO:

NAME:

ADDRESS:

CITY:

STATE:

ZIP:

PHONE:

EMAIL:

ORDER DATE:__________________PAYMENT TYPE:____________________

CREDIT CARD NUMBER/EXP. DATE:____________________________________________________________________

VIDEO TITLE___________________________________________QTY_______PRICE_________TOTAL____________

VIDEO TITLE___________________________________________QTY_______PRICE_________TOTAL____________

VIDEO TITLE___________________________________________QTY_______PRICE_________TOTAL____________

VIDEO TITLE___________________________________________QTY_______PRICE_________TOTAL____________

VIDEO TITLE___________________________________________QTY_______PRICE_________TOTAL____________

SUB TOTAL____________
*SHIPPING CHARGES____________
FLORIDA RESIDENTS ADD 7% SALES TAX____________

TOTAL____________

* U.S. SHIPPING INCLUDED ON ALL VIDEOS. FOR INTERNATIONAL(OVERSEAS) SHIPPING PLEASE ADD $19.99 (this is sent via registered air mail). FOR CANADA SHIPPING ADD $9.99 AND FOR OVERNIGHT SHIPPING TO U.S. ADD $19.99.
WE ACCEPT MASTER CARD, VISA, AMERICAN EXPRESS, AND DISCOVER. WE ALSO ACCEPT CHECKS AND MONEY ORDERS MADE PAYABLE TO INTERMARK PRODUCTIONS. MAIL ORDERS TO THE ADDRESS ABOVE OR FAX YOUR ORDER TO :727-398-0543 OR CALL 727-804-3005. THANKS FOR YOUR BUSINESS!