On Point DVD Order Form

To pay by check or money order:

Please print and fill out this form and mail with payment (payable to Bill Crumlic) to:

Crumlic Media / ON POINT DOCUMENTARY
459 Columbus Avenue, Suite 101
New York, NY 10024

Questions? Please call Crumlic Media at 646-596-6652 any weekday between 10:00 a.m. and 6:00 p.m. EST.

Shipping Address:

Name__________________________________________

Address1 _______________________________________

Address2________________________________________

City___________________,  State___________, Zip Code:______________

Phone Number: __________________________ (optional)

Quantity ____ On Point DVD at $8.00 (plus tax if in NY)   $ _____________

Shipping per DVD (free in US, contact us for others           $ _____________

Total                                                                          $ _____________

Please allow 2-3 weeks for delivery.

To be added to the On Point e-mail update list include your e-mail in the space below. Your e-mail address for On Point film updates: __________________________