4  Please  fill in your order,  print a copy to mail with your check or money  Order.  (For faster delivery pay by PayPal and submit form).  Please make checks or money order to Jerry Pariseau.  Mail to:  
                                                            Pariseau Productions  
                                                            P.O. Box 928  
                                                            Gold Hill, Oregon 97525
  (Submit your order,  outside USA  shipping will apply, We will  contact you on charges).
***********SATISFACTION GUARANTEE***************

Name

Address

CityStateZip  

CountryE-mail

Tapes & DVD  $12..00 each no Shipping charges in USA                        
Check Volumes Desired
Wedding
Dance

 Tape   Level 1
DVD-R   Level 1

  
Mambo/Salsa  Tape  Level 1
DVD-R Level 1		 Tape     Level 2
DVD-R   Level2		 Tape    Level 3
DVD-R  Level 3
Tango Tape Level 1
DVD-R Level 1		 Tape Level2
DVD-R Level 2		 Tape Level 3
DVD-R Level 3
West Coast Swing  Tape   Level 1
DVD-R Level 1		 Tape Level 2
DVD-R Level 2
Cha-Cha Tape Level 1
DVD-R Level 1		 Tape Level 2
DVD-R Level 2		  
Swing  (single) Tape Level 1
DVD-R Level 1		 Tape Level 2
DVD-R Level 2		  
Rumba Tape   Level 1
DVD-R Level 1		 Tape   Level 2
DVD-R Level 2		 Tape  Level 3
DVD-R Level 3 
Fox Trot Tape  Level 1
DVD-R   Level 1		 Tape   Level  2
DVD-R Level 2		  
Waltz Tape Level 1
DVD-R Level 1		 Tape Level 2
DVD-R Level 2		  
Jazz Tape Level 1
DVD-R Level 1		 Tape Level 2
DVD-R Level 2
Total number of tapes   times $12.00 per tape     Sub Total:  $ 
Total number of DVD-R   times $12.00 per DVD  Sub Total: + $
                                                                                            $no Shipping charges
                                                                                    TOTAL  $
Please  fill in your order,   print a copy to mail with your check or
money  Order.  (For faster delivery pay by PayPal and Submit form).
PayPal Check Here Request for payment will be emailed to you.
       

Any Questions contact:   Jerry2dance@hotmail.com  

[ Home ][ Cha-Cha ] [ Mambo] [ Tango ] [ Swing ] [ West Coast Swing ]
[ Waltz ] [ Fox Trot ] [ Salsa ] [ Rumba ] [ Jazz ] [ Wedding Dance ] 
 [ Free Lesson ] [ Class Schedule ] [Jazz Jubilee ] [Picture Gallery]