1 Download print this order form and enclose payment 2 Download print and sign 2 copies the performance agreement 3 Mail all three to our address at the bottom of this page QTY PRICE AMOUNT 1 ID: 836569
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1 ORDER FORM 1. Download, print this order
ORDER FORM 1. Download, print this order form and enclose payment. 2. Download, print and sign 2 copies the performance agreement. 3. Mail all three to our address at the bottom of this page. QTY PRICE AMOUNT $110.00 $ $135.00 $ $10.00 $ $50.00 $ SUB-TOTAL $ ** UPGRADE SHIPPING $ SUB-TOTAL $ CA SALES TAX $ SUB-TOTAL $ X $75 = $75.00 X $50 = $ TOTAL PAYMENT AMOUNT $ 1 NO. OF PERFORMANCES List the FIRST and LAST performance dates. Figure the total performances minus Amateur Immaculate Deception Production Kit Professional Immaculate Deception Production Kit FIRST LAST Cast & Crew Video Recording License 4260 Laurel Canyon Blvd. Studio City, CA 91604 (818) 761-6980 PRODUCTION KIT Extra Scripts includes shipping each The Amateur Kit and the Professional Kit are the same. The price reflects the different licensing fees. Each kit contains: bound scripts sample press release promotional materials. MEDIA MAIL SHIPPING IN THE U.S. IS INCLUDED . ** To upgrade shipping to Priority Mail, add $10. PERFORMANCE ROYALTIES PERFORMANCE DATES TOTAL PAYMENT AMOUNT $ CUSTOMER INFORMATION (PLEASE PRINT) SEATS STATE SHIPPING INFORMATION (ONLY IF DIFFERENT FROM ABOVE) STATE PAYMENT INFORMATION MONEY ORDER OR CASHIERS CHECK PAYMENT WITH ORDER ONLY. Make Cashiers Check or Money Order payable to: Go With The Flo Productions Mail payment and this order form to: 4260 Laurel Canyon Blvd. Studio City, CA 91604 ADDRESS CITY ZIP / POSTAL CODE COUNTRY CONTACT NAME THEATRE COMPANY or ORGANIZATION EMAIL COUNTRY DATE CONTACT NAME EQUITY HOUSE? THEATRE COMPANY or ORGANIZATION ADDRESS CITY ZIP / POSTAL CODE List the FIRST and LAST performance dates. Figure the total performances minus 1 and enter into the box. Fill in the order form and calculate your total. TELEPHONE FAX