ORDER FORM

For Video only

 (VHS and DVD)


Please print and fill-in the order form. Send it with a check payable to:
Professor I-Hsiung Ju
35 Sycamore Place, Princeton, NJ   08540-9203

 

CATALOG #

ITEM DESCRIPTION

VHS or DVD

QUANTITY

UNIT PRICE

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal ________________
Add 5% of the subtotal for Shipping & Handling (minimum $2) ________________
Total ________________

Shipping Information:

Name:_________________________________________________________________

Address:__________________________________________________________________

City: _______________________________ State: _________ Zip Code: ________________

Phone Number: ___________________________ Best time to call: _____________________

 

 

Email address: ________________________________________

 

THANK YOU!
To contact Professor Ju by phone, please call 609-430-1887
E-mail address:  ihsiung@hotmail.com
Web site:  www.ihsiungju.addr.com