Name:______________________________________________
Address:___________________________________________
___________________________________________________
City:______________________________________________
State:_____________________
E-mail Address:_____________________________________
Phone Number: (____)________________________________
Number of copies:______________
Check:____
(PLEASE ALLOW 4 -6 WEEKS FOR DELIVERY)
Make Check Payable to: Heartfall Productions.
$24.95 U.S. (includes Tax/Shipping & Handling)
Add $4.95 For PAL Version
Mail to:
"Escape With Ease" Video
Heartfall Productions
P.O. Box 200813
Arlington, Texas 76006