MAIL ORDER FORM FOR
Life on Jupiter: The Story of Jens Nygaard, Musician

Life on Jupiter : The Story of Jens Nygaard, Musician

Please print out and send in this form.  

Please send _______ DVD copies of "Life on Jupiter" to:

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

Price of DVD is $25.00 per copy

 ____ x $25.00 __________

Shipping via USPS Mail
& handling charge, please
add $5.00 per copy

 ____ 

x $5.00

__________

Total enclosed

__________

Checks or money orders accepted. 
Make payment to: Interaction Media

Please send your order to:

Interaction Media
P.O. Box 457
Devon, PA 19333

Inquiries regarding future releases and upcoming air dates may be made through our web site at www.lifeonjupiter.com.  Or email us directly at mjspin@mac.com

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