JEWISH TALES OF THE UNEXPECTED 

 PRINTABLE ORDER FORM

Please print out this Order Form and mail or fax it back to us


Please ship me 

No. Copies

TITLE

DVD (circle format choice)
_____  THE PERMEABLE MAN  $14.95

PLEASE ADD $3.95 FOR SHIPPING AND HANDLING (overseas order will be charged more)

BILLING ADDRESS:

Name  ____________________________________________________
Address 1 _________________________________________________
Address 2 _________________________________________________
City___________________________ State ______ Zip _____________

Email Address:  ________________________________
Phone Number ________________________________
Cell Phone ___________________________

PAYMENT TYPE:

BY CHECK:
Personal or cashier’s check accepted via regular Mail

BY CREDIT CARD (via Mail or fax):
Card Type:  VISA            MASTERCARD            AMEX             DISCOVER

Credit Card Number: ________________________________________
Exp Date _________________________________
Name on Card: ______________________________________________

SHIPPING INFO (If different than above)

Name  ____________________________________________________
Address 1 _________________________________________________
Address 2 _________________________________________________
City___________________________ State ______ Zip _____________

When you have completed filling in this form, you can

FAX IT:  1 (309) 423-8980

Or Mail it to us at

Reel Jewish Entertainment
1512 Murray Ave
Pittsburgh, PA 15217