

Please send me a copy(ies) of the “Memorial Day” DVD:
Name _______________________________________________
Street Address ________________________________________
City _____________________ State _______Zip ____________
Phone _______________________________________________
Please make checks payable to: “Duprey Video Productions”
Send to: 47 E. Wright Ave. Waterloo, NY 13165
Qty. _____ DVD’s @ $10.00 each = ________________
Shipping and Handling ___________________________
NYS Residents add 8.25% sales tax _________________
Order Total__________ ___________________________
Shiping and Handling rates: up to 3 DVD’s $2.00
each additional DVD add $0.50