Happy Video Order Form
(payment by money order or cashiers check only)

Enter Your Video Selections in the Form below
   ITEM #   VIDEO TITLE (approximating is fine)   PRICE
Add up all video prices and enter as SUBTOTAL:
, then enter SHIPPING & HANDLING:
and add together for ORDER TOTAL:

Complete the Customer Information Form Below

Enter Your Email Address:
Enter Your Name &
Complete Shipping Address:

(Pressing ENTER after each line)

Indicate Your Payment Method:

Send payable to: John Scott Kemp
4693 Roundleaf Road
Ramseur, NC 27316

(international customers add) USA
Money Order Cashiers Check





Special Instructions,
Questions, or Comments: