Priority Multimedia/Order Form

THIS IS YOUR ORDER FORM

IMPORTANT NOTICE: Because our ordering system is not secure, we strongly suggest
that you either fill in this form on your computer and then print it, or print it first and
fill it in by hand, and FAX or MAIL it to us.

FAX TO: (480) 831-7373

MAIL TO: PRIORITY MULTIMEDIA GROUP, INC.
P.O. Box 41540
Mesa, AZ 85274-1540

Make checks payable to: Priority Multimedia Group, Inc. or use
your VISA, MASTERCARD or AMERICAN EXPRESS card.

FULL NAME
STREET ADDRESS
CITY
STATEZIP
PHONE FAX
E-MAIL
CREDIT CARDCHECK ENCLOSED
CARD NUMBER
EXPIRATION DATE
SIGNATURE
1ST PRODUCT
2ND PRODUCT
3RD PRODUCT
4TH PRODUCT
5TH PRODUCT
SUBTOTAL OF ORDER
AZ RESIDENTS MUST ADD SALES TAX
SHIPPING CHARGES 
GRAND TOTAL

THIS IS YOUR ORDER FORM

FAX TO: (480) 831-7373 MAIL TO: PRIORITY MULTIMEDIA GROUP, INC. P.O. Box 41540 Mesa, AZ 85274-1540 Make checks payable to: Priority Multimedia Group, Inc. or use your VISA, MASTERCARD or AMERICAN EXPRESS card.

THANK YOU FOR YOUR ORDER! PLEASE PRINT THIS FORM AND MAIL OR FAX TODAY!

FAX TO: (480) 831-7373

MAIL TO: PRIORITY MULTIMEDIA GROUP, INC.
P.O. Box 41540
Mesa, AZ 85274-1540

Make checks payable to: Priority Multimedia Group, Inc. or use
your VISA, MASTERCARD or AMERICAN EXPRESS card.

THANK YOU FOR YOUR ORDER!
PLEASE PRINT THIS FORM AND MAIL OR FAX TODAY!