Distant Thunder Films Order Form
Last Name:__________________________________________ First Name:______________________________________
Phone Number:_______________________________ E-mail:___________________________________________
Address:________________________________________________________________________________
City:_______________________________________________ State:________ Zip Code:________________
ITEM #_____________ QUANT.______ COLOR_______________ SIZE_____________________
ITEM #_____________ QUANT.______ COLOR_______________ SIZE_____________________
ITEM #_____________ QUANT.______ COLOR_______________ SIZE_____________________
ITEM #_____________ QUANT.______ COLOR_______________ SIZE_____________________
ITEM #_____________ QUANT.______ COLOR_______________ SIZE_____________________
ITEM #_____________ QUANT.______ COLOR_______________ SIZE_____________________
--------------Sub Total $_________________________
Shipping & Handling= $___________________________
---------------TOTAL: $___________________________
COMMENTS:___________________________________________________________________________________
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