Where Yesterdays Live Offline Order Form

MAIL ORDER WHOLESALE FORM

Print this order form then simply mail it to...

DeFiore Enterprises
5640 North Marty Avenue, #182
Fresno, CA 93711

Make checks payable to: DeFiore Enterprises.

I am ordering the following DVDs at wholesale. I understand that my order must be for ten DVDs minimum:

Quantity DVD Title

_______ _________________________________________________

_______ _________________________________________________

_______ _________________________________________________

_______ _________________________________________________

_______ _________________________________________________

_______ _________________________________________________

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Name: __________________________________________________________

Address: ________________________________________________________

City: _______________________ State: __________ Zip: _____________

Telephone: _______________________________________________________

Email Address: ___________________________________________________

How did you hear about us?__________________________________________

[ ] I have enclosed a check or money order for $_____________________

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DeFiore Enterprises
5640 North Marty Avenue, #182
Fresno, CA 93711
559-440-1449

Copyright © 1998 - 2007 DeFiore Enterprises. No part of this protected work, in part or in full, may be reproduced, stored, copied, printed, or transmitted by any means without the express written consent of DeFiore Enterprises. Violations of this copyright will be enforced to the fullest extent of the law.