Six Feet Under/Order Form

THIS IS YOUR ORDER FORM

NOTE: If you are a producer, director or story developer working for a recognized production company, all materials (EXCEPT Bart Gavigan's tape series) may be ordered FREE of charge. Your request must be made in writing, on company letterhead, to the address below.

IMPORTANT NOTICE: Because our ordering system is not secure, we strongly suggest that you either fill in this form on your computer and then print it, or print it first and fill it in by hand, and FAX or MAIL it to us.

FAX TO: (602) 831-7373

MAIL TO: PRIORITY MULTIMEDIA GROUP, INC.
P.O. Box 41540
Mesa, AZ 85274-1540

Make checks payable to: Priority Multimedia Group, Inc.

PLEASE NOTE THAT WE ALSO TAKE VISA/MASTERCARD/AMERICAN EXPRESS.

FULL NAME
TITLE 
COMPANY
STREET ADDRESS
CITY
STATEZIP
PHONEFAX
e-MAIL
CREDIT CARDCHECK ENCLOSED
CARD NUMBER
EXPIRATION DATE
SIGNATURE
1ST PRODUCT
2ND PRODUCT
3RD PRODUCT
4TH PRODUCT
5TH PRODUCT
SUBTOTAL OF ORDER
AZ RESIDENTS MUST ADD SALES TAX
SHIPPING CHARGES 
GRAND TOTAL

THANK YOU FOR YOUR ORDER!
PLEASE PRINT THIS FORM AND MAIL OR FAX TODAY!

GO HOME / E-MAIL

http://www.prioritymm.com

PRIORITY MULTIMEDIA GROUP, INC.
P.O. BOX 41540 , MESA, ARIZONA 85274-1540
Phone: 602-831-5557 / FAX: 602-831-7373
e-mail: gottry@prioritymm.com

Copyright©1998 by Priority Multimedia Group, Inc.
All rights reserved.
All creative concepts presented herein are registered with
WRITERS GUILD OF AMERICA west (WGAw).

FAX TO: (602) 831-7373 MAIL TO: PRIORITY MULTIMEDIA GROUP, INC. P.O. Box 41540 Mesa, AZ 85274-1540 Make checks payable to: Priority Multimedia Group, Inc.

PLEASE NOTE THAT WE ALSO TAKE VISA/MASTERCARD/AMERICAN EXPRESS.

THANK YOU FOR YOUR ORDER! PLEASE PRINT THIS FORM AND MAIL OR FAX TODAY!

FAX TO: (602) 831-7373

MAIL TO: PRIORITY MULTIMEDIA GROUP, INC.
P.O. Box 41540
Mesa, AZ 85274-1540

Make checks payable to: Priority Multimedia Group, Inc.

THANK YOU FOR YOUR ORDER!
PLEASE PRINT THIS FORM AND MAIL OR FAX TODAY!