Please Print Out This Order Form

Mail Completed Form With Payment To:

 Prairie Styles Inc.
P.O. Box 2002
Glen Ellyn, Il.    60138-2002
City of Dreams - The Collaboration of Marion Mahony and  Walter Burley Griffin                Quantity         Total

VHS Tape

 $49.99 x __________ $ ___________
     
 

 

    

Subtotal

 $ ___________
Illinois Residents add 6.75% sales tax Subtotal x .0675 $ ___________
Shipping & Handling - $7.75 per item $7.75 x __________ $ ___________

Enclosed Check or Money Order In U.S. Funds Made Payable To Prairie Styles Inc.

 $ ____________
Shipping Information:
Name:__________________________________________________
.

Shipping Address:_________________________________________
.
City:__________________________ State:___________________ Zipcode:____________
.
Optional Contact Phone Number or Email address: _____________________________
.

Please Allow 2 to 3 Weeks for Delivery
Replacements only for all returned video tapes
Direct inquiries to pssales@prairiestyles.com