DOCKRAT ENTERTAINMENT
ORDER FORM

Simply print this page out and fill in the items listed in the DockRat Entertainment website. Please be sure to include the item #’s listed through the DR website. This order form is for DockRat’s library of video and audio items. Merchandise orders like shirts and hats need to go to www.cafepress.com/dockrat.
Some compact disc items can be purchased with a credit card if you wish.
Please check the appropriate webpage for availability.


Date:___/___/___  Name:_______________________________________

Street Address:____________________________________

City:_____________________________  State/Prov.:_________________

Zip:_________________  Country:______________  Phone #:__________________

Email:________________________________________

Item #
 		Quantity
 		Description
 		List Price

TOTAL: $_______________
S&H is included in all listed prices for videos and DVDs.
All Compact Disc orders must include $6.00 USD for shipping and handling.
Mail Order Form, with Check or Money Order paid to the order of:
Benn Farrell dba DockRat Entertainment, to
DockRat Entertainment
4844 Keith Lane
Colorado Springs, CO 80916
 Please include your email address or telephone number for order confirmation. Allow 3-5 weeks for delivery. Outside USA allow 5-7 weeks for delivery. Sorry, no credit cards accepted on video and DVD orders. For more contact information, go to our Contact page.
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