Arkadia Jazz/VIEW Video order form
Directions:
  • Fill out all information.
  • Print this Form and send to:
    Arkadia Jazz/VIEW Video
    34 East 23rd Street
    New York, NY 10010
      or fax to:
    (212) 979-0266

Mail Order Form
For fax and mail orders of VIEW Video, Arkadia Jazz,
Arkadia Chansons, and Postcards Records
QTY Description Price Each Price Total
$ $
$ $
$ $
$ $
$ $
Subtotal $
NY Residents Only - Add Sales Tax 8.625% $
(Shipping: $3.95 first item, $1 each additional item.) Shipping & Handling $
TOTAL $


Billing and Shipping Information
NO P.O. BOXES PLEASE
BILL TO:
 SHIP TO:
(If different from BILL TO)
Name: Name:
Address:
Address:
City: City:
State: State:
Province: Province:
Country: Country:
Zip/Post Code: - Zip/Post Code: -
Phone No.: - - Phone No.: - -
Email Address:


Payment Information
SELECT TYPE
Credit Card (Enter Information Below)
Check
Money Order
Credit Card Information
CREDIT CARD
MasterCard
Visa
American Express 		Name as it appears on Credit Card


Signature: _____________________________
CREDIT CARD NUMBER
- - - 		Expiration Date
Month: Year: