JAC Publishing & Promotions Order Form

[FrontPage Save Results Component]

Play # or Title:
# of Copies:
Contact First Name:
Last Name:
Address: (Please include apartment #)
Phone:
Email Address:
Presenting Organization:
Billing Address (if different than above)
Phone:
Email Address:
Group URL:
Production Date(s):
Audience/House Size:
Payment:

Please Note:

	If you are paying thru PayPal, your item will be shipped as soon as payment is received at the jacneed@aol.com address.
	If you are paying by credit card, you will be called in a timely manner by a JAC representative for your credit card information before your order is shipped.
	If you are paying by check or money order, your order will not be shipped until your payment is received. Please note that returned checks will be billed an additional $25.
	If you are paying/ordering with a group P.O., your order will be shipped immediately when your organization is billed. If payment is not received within thirty days (30) of invoice, a 10% increase will be added to your invoice for each thirty (30) days overdue.