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ORDER FORM

Expected Shipping Date:  February 1, 2017

Yes! I would like to purchase the DVD, Jimmy Stewart – Always Remember, Be Nice to People.

Price per DVD: $14.99

Quantity_________x $14.99 (including $2.95 shipping and handling) = $_____________

Your name _______________________________________________________________________

Shipping Address _______________________________________________________________________

City, State, Zip _______________________________________________________________________

Phone___________________________

(CIRCLE ONE)

VISA MasterCard AMEX Discover Check (payable to the Jimmy Stewart Museum Foundation)

Cardholder Name______________________________________________

Cardholder Signature___________________________________________

Card Number________________________________ SEC. CODE*_______

Exp.Date_____________

Billing Address (write “same ”  if same as shipping address)

______________________________________________________________________

_______________________________________________________________________

City, State, Zip (write “same ” if same as shipping address)

_____________________________________________________

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Mail or fax to address below:

 

The James M. Stewart

Museum Foundation

(501-c-3)

835 Philadelphia Street, P.O. Box 1

Indiana, PA 15701

FAX: 724-349-6140

www.jimmy.org

800-83-jimmy

You may also purchase the DVD online along with other Stewart films, clothing and collectibles online at: store.jimmy.org.

*Security code is the 3-digit code on the back of the credit card, or 4-digit on front of AMEX card.