REVOK.COM ORDER FORM

Print (or copy out) this order form.
Please fill it out and mail it along with a check or money order made payable to REVOK FILM PRODIGIES:

785 Wonderland Rd. S.
PO BOX 29008
London, Ontario
Canada
N6K 4L9

MOVIE / POSTER / CD
TITLE PRICE ($)
 
 
   
 
   
 
 
 
 
 
SUBTOTAL = _

+ SHIPPING (see F.A.Q. for correct charges)
NOTE : Mail Orders are NOT eligible for the "Free Shipping" Offer

_
Canadian residents - Please add 7% of Subtotal for GST here:  
Ontario residents - Please also add 8% of Subtotal for PST here:  
Total Enclosed:  
 
SHIP TO:
NAME
ADDRESS
CITY
PROVINCE / STATE
COUNTRY
POSTAL / ZIP CODE
EMAIL ADDRESS: