“The Eye Patch Kids” DVD printable order form.
Address:_____________________________________________________________________________
City, State, ZIP:_______________________________________________________________________
Phone (if there are any questions):)______________________________________________________
E-Mail:_______________________________________________________________________________
Child’s Name:_________________________________________________________________________
How did you hear about us?____________________________________________________________
Quantity:_____________________________________________
TOTAL:_______________________________________________
SHIPPING & HANDLING:________________________________
GRAND TOTAL:_______________________________________
Make checks or money orders payable to Bjort & Company, Inc.
Each DVD is $15.99 plus $3.00 Shipping and Handling per order in USA and Canada.
$8.00 Shipping & Handling per order outside the USA & Canada.
If buying more than 2 DVD’s, then it’s only $2.00 each shipping and handling (USA only).
If buying in a large quantity then contact us for a discount.
Mail to:
Bjort & Company, Inc.
1767 Lakewood Ranch Blvd. # 264
Bradenton, FL 34211-4906
USA