Print this Order Form out and fill it in with your order.
Then mail to:
VK Media & Internet Services, LLC
800 Bloomfield Avenue
Nutley, NJ 07110
Call us with your questions: (973) 486-2286
Please make checks or money orders out to: VK Media & Internet Services, LLC







11th Hour T-Shirt, Yellow on Black.
Only available in XL.                                                                                                    $15.00 ea.
Receive an 11th hr DVD with your order. Limit 1 DVD per person.
The 1st Annual Memorial Party for Mugsy CDR
CDR runs approximately 50 minutes.                                                                                                    $15.00 ea.
Purchase both the cd and Tshirt for only
                                                               $20.00 ea.
Receive 2 11th Hour DVD's. Limit 1 set of 2 DVD's per person.
Mugsy - The Early Years CD                                 $15.00 ea.
Receive one 11th Hour DVD. Limit 1 DVD per person.
The Mugsy's 1st Annual Birthday Celebration CDR
CDR runs 41 minutes.                                                                   $15.00 ea.
Receive Netto's Mugsy Incpired CD "50 Caliber Bling" as a bonus.

Total Enclosed

Make checks or money orders to:
VK Media & Internet Services, LLC
Billing Address:____________________________________________________________________________________________________
Phone Number:_____________________________________________________________________________________________________
Email Address:______________________________________________________________________________________________________

Credit Card Billing Information
Name as it appears
on Credit Card:_____________________________________________________________________________________________
Credit Card Billing Address:___________________________________________________________________________________
Phone Number:_____________________________________________________________________________________________

Visa/MasterCard Number:__________________________________________
Exp Date:__________Security Code:______________

















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