Mail Order Form

To order your copy of Jerseys in the Rafters,
print out this order form and mail to:

Much More Media, LLC
P.O.Box 472267
Charlotte, NC 28247-2267

OR

Fax: 248-282-0424


Jerseys in the Rafters VHS tape     _____ x  $19.95 each = __________

Jerseys in the Rafters DVD          _____ x  $22.95 each = __________

                             Shipping and Handling *       __________  
                             
				       Subtotal            __________  	
				 
                     7.5% Sales tax (NC residents only)      __________
                     
                                      Total Due	           __________
*S & H: 
[ ]Standard Delivery ($3.75)       
[ ]Priority Mail ($5.50)    [ ]Overnight ($20.00)

[  ] payment by check 
* Please make checks or money order payable to Much More Media

[  ] payment by Visa                 [  ] payment by Mastercard

Credit Card number_____________________________ Exp Date ______________

Signature______________________________________


Bill To:
Name:__________________________________________________________________

Address:_______________________________________________________________

City:__________________________         State:________     Zip:________

Daytime Phone:_________________         E-Mail:________________________  
                                                 
               
Ship To (If different from Above):
Name:__________________________________________________________________

Address:_______________________________________________________________

City:__________________________         State:________     Zip:________

Thank you for your order!