L.A. Zombie DVD Product Order Form

Index

Please complete the following form to place your order for the L.A. Zombie DVD.

Choose product(s) and quantity

Product	Item Price	Qty
LA Zombie DVD (Hardcore version)	US $39.951

Note: DVD is in stock and shipping.
Note: DVD is not region encoded.
Note: PPVBILL is the credit card processor that will appear on your credit card statement.

Choose shipping method

Shipping method	S/H Cost
Ship to P.O. Box (USPS Priority) (USA)	US $
UPS Ground (3-5 days) (USA)	US $
UPS 3 Day Select (USA)	US $
UPS 2nd Day Air (USA)	US $
USPS International - Canada (Intl)	US $
USPS International (Intl)	US $

Product ships from our warehouse in New York, NY. USPS International orders ship First Class (expected delivery varies by location from 5-14 days).

Sales tax

No sales tax will be charged to customers. The Company will cover respective taxes for New York State residents.

US $ 0

Total cost

Complete the following:

Contact/billing information

First name
Last name
Email
Street address

City
Postal (Zip) Code
State/Province
Country
Credit Card No.
CVV2 Code
Expiration Date	in MMYY format, example: 0511 (for May 2011)

Shipping information

First name
Last name
Street address

City
Postal (Zip) Code
State/Province
Country

Note: PPVBILL is the merchant that appears on your credit card statement.

You will receive an email confirming that your order was received. If you have any issues or concerns regarding your order, please email orders@lazombie.com.