|
|---|
| Bushwick Homecomings DVD Order Form |
|---|
| (Please Print this Form) |
| PURCHASED BY: | SHIP TO: (if different from purchaser's name and address): |
| Name________________________________________ | Name________________________________________ |
| Address________________________________________ | Address________________________________________ |
| City________________________________________ | City________________________________________ |
| State________________________________________ | State________________________________________ |
| Zip________________________________________ | Zip________________________________________ |
| Email Address________________________________________ | |
| _______Cashier's/bank check or money order included (no personal checks) |
| Make checks payable to and mail form and/or purchase requisitions to: |
| Msjosh Productions, LLC |
| P.O. Box 1583 |
| New York, NY 10159 |
 |
| Please print and circle one entry that applies to your order | |||
| (Note: Orders ship via Priority Mail Flat Rate with delivery confirmation, Domestic orders only, please email inquiries for international shipping rates.) Purchase requisitions/orders may be calculated using table below and sent via mail or emailed to info@bushwickhomecomings.com. |
| Item | Price | Shipping | Grand Total | 1 Bushwick Homecomings (DVD only) | $24.99 | $5.65 | $30.64 | 1 Bushwick Homecomings DVD w/ *Public Performance Rights for Purchaser/College | $174.99 | $5.65 | $180.64 |
| *Public Performance Rights entitles purchaser (educator or organization) to utilize the proprietary material in classroom presentations, curriculum, library use, college film festivals and closed circuit TV broadcast for educational institutions. |
| Questions? Contact: info@bushwickhomecomings.com |
| Return to main page |