Powershotz.com Mail order form.  Print and fill out this form.  Mail it along with your signed consent form to the address listed below.  Once we have received your payment, you will be informed via e-mail that your order is being processed.  If you ordered a dvd, it will be mailed to your shipping address.  If you order a website membership or catalog coupon, it will be e-mailed to the e-mail address that you specify.  No advertisements or other products will be mailed to your address.  All dvds are shipped in a brown bubble mailer envelope with no company markings.  Nothing else will be mailed to your address and your information will be kept confidential.  Make sure that your e-mail spam blocker does not block mail from powershotz.com from getting to you.  Otherwise you may not get the reply when your payment is processed.   

3 Month Site Membership by mail  -  $60

Username

Password

Your E-mail address.....

Catalog Coupon - $20 Increments

Number of $20 coupons ordered ___

You will be e-mailed a coupon that can be used to purchase items from the Archives Catalog

Your e-mail address......

DVD's - $42 each

Dvd's will be mailed to your shipping address on receipt of payment.  Nothing else will be mailed to you!

Your shipping address...

Name

Street

City                                                State                                    Zip Code

Country

Fill in your dvd information below

Title of DVD..............................PZV number

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Your total order amount -

Be sure to include the signed consent agreement with your payment.  Your order will be e-mailed or shipped to you upon receipt of payment.  Thank you!

Our mailing address...Please do not write Powershotz on the check or envelope!  Make check payable to Emotionz

EMotionz

6209 Mid Rivers Mall Drive

Suite 202

St. Charles,  Mo  63304