Order Form

(you may also print this form and mail or fax it in)

Lasting Effects Communications
1533 Grey Oak Court
Medford, OR 97501

Please e-mail order inquires to:
KOAdmin@KnockoutWrestling.com
Please add $5.00 for first video and $1.00 for each additional video
for shipping and handling. Allow 1-3 weeks for delivery.

Please provide the following ordering information:

QTY	PRODUCT CODE: DESCRIPTION	Price








	Postage:
	Total:

	BILLING
Credit card
Cardholder name
Cardholder e-mail
Card number
Expiration date
CVV2 Number

	SHIPPING
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

Special Instructions/Comments:

Postage - USA
Add $5.00 to first video and $1.00 for each additional for shipping and handling!!!

Postage - CANADA
Add $7.00 to first video and $2.00 for each additional for shipping and handling!!!

Postage - FOREIGN
Add $12.00 to first video and $4.00 for each additional video.
Also Add $10 per video for PAL format! (IF available)

OUR RETURN POLICY: If you received a video in error or if your video is damaged, we will gladly REPLACE IT.
There are no returns or exchanges.

Back

Postage - USA Add $5.00 to first video and $1.00 for each additional for shipping and handling!!!

Postage - FOREIGN Add $12.00 to first video and $4.00 for each additional video. Also Add $10 per video for PAL format! (IF available)

Postage - USA
Add $5.00 to first video and $1.00 for each additional for shipping and handling!!!

Postage - FOREIGN
Add $12.00 to first video and $4.00 for each additional video.
Also Add $10 per video for PAL format! (IF available)