Paranoia Productions Video Order Form
(just print out this handy little form, fill it out, and mail it to us, along with your money of course)

VIDEO #1

Band Date Length Price
       
       
       
       

VIDEO #2
Band Date Length Price
       
       
       
       

Total Length: Subtotal Price:
Shipping & Handling per video      (add  $3)
Total Price:

any incomplete or incorrect orders will be returned, or you will be contacted to complete the order, so for the love of god, get it right the first time!

Send this order form, along with a check our money order made out to Ryan Wilcox, or well concealed cash to:

Paranoia Productions/Videos
P.O. BOX 1014
Union, NJ 07083