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)
_____________________________________________________
_______________________________________________________________________
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.