Order Form Visit our new web site at www.kungfumovies.net Name _______________________________________________________________________ Address_____________________________________________________________________ City____________________________________________ State ______ Zip __________ email ______________________ Phone __________________ Fax __________________ Ship to info ___ check here if ship to address is the same Name _______________________________________________________________________ Address_____________________________________________________________________ City____________________________________________ State ______ Zip _________ Circle one: Mastercard Visa American Express Discover/Novus Name on card__________________________________________ Card# ___________________________________________ 3 digit CVV ________ Expire Date __________________________________________ Signature: ___________________________________________________ Note: Make sure the Bill to address above is the billing address on your credit card Quantity Prdcode Description Price Total 1 ____ ___________ _______________________________ _________ ___________ 2 ____ ___________ _______________________________ _________ ___________ 3 ____ ___________ _______________________________ _________ ___________ 4 ____ ___________ _______________________________ _________ ___________ 5 ____ ___________ _______________________________ _________ ___________ 6 ____ ___________ _______________________________ _________ ___________ 7 ____ ___________ _______________________________ _________ ___________ Subtotal ______________ SHIP up to 4 videos or 6 dvd for $6, add $1.00 for each additional video or .50 for each additional dvd. -Canada $9 up to 2 dvds or 1 vhs $14 6 dvd or 4 vhs -International $11 up to 2 dvds or 1 vhs $28 up to 8 dvds or 4 vhs Shipping ______________ Maryland only 5% salestax ______________ Total ______________ mail check or money order to: eworld international PO Box 215 Chelteham, MD 20623 fax to: 301-574-5204 or order online www.kungfumovies.net No refunds on movies. All defective movies will be replaced promptly. In stock items can take several days to ship. Out of stock items can take several weeks. Cash and money order orders ships immediately. Personal checks our held 10 business days. Please wait till after 4 weeks for order inquiries.