
For payment by check, cash, or money order, make payment to: JM Games LLC.
Print this form, and mail completed form and payment to:
JM Games Orders
18902 Northbrook Circle
Westfield, IN 46974
| Name | |
| Street Address | |
| Address (cont.) | |
| City | |
| State/Province | |
| Zip Code | |
| E-mail* |
*we will contact you via e-mail when your order is received and processed
| # Games Ordered @ $19.95 each | ____ x $19.95 = $ _________ |
|
Shipping/Handling @ |
____ x $0.00 = $ ____0____ |
| MI residents add 6% sales tax | ____ x $1.20 = $ _________ |
| Total Amount Enclosed | $ __________ |