Mail or Fax in your order
Print out the following order form and either:
- Fax it to (866-821-8323) Credit Cards Only
- Snail mail it to (Checks, Money Orders or Credit Cards):
Media Works
PO Box 485
Yorktown Heights NY 10598
Yes, rush me Break Dancing Made Simple, Vol. 1. I understand that if after using all the techniques and strategies in the video I am not completely satisfied within 1 year, I can return it for an immediate refund... no questions asked. The video will be sent USPS Priority 1-2 Day Service within 24 hours of receiving your order and is guaranteed to arrive within 5 business days.
Name: _________________________
Email: _________________________
Company (optional): _________________________
Address: _________________________
City: _________________________
State: _________
Country: _________________________
(please check your shipping costs below)
Zip: _________
Phone: (___) ____ - ______
( ) I am enclosing a check or money order for
$19.95 USD plus $3.85 s/h (*$5.00 flat rate for international orders*)
payable to "Embroidwear" --Please note that we do not accept
checks by fax, so if you are paying by check you must mail it in.
( ) I want to charge $19.95 plus
$3.85 s/h
(*$5.00 flat rate for international orders*) to my Credit
Card Note: All overseas orders are shipped by USPS Global Priority Mail
Credit Card (check one):
VISA
MasterCard
American
Express
Discover Card
Number: _________________________
Expiry Date: _________
Signature: _________________________
I authorize Embroidwear to charge $19.95 plus my applicable shipping to my credit card for the purchase (and shipment) of the Break Dancing Made Simple Vol. 1 Video.