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HOME VIDEO ORDER FORM "The Bar" Home video is licensed for private use only.For use in schools, libraries, institutions, or for public screening, please contact us at (604) 633-1441. |
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DVD: ______ copies at $15 each (incl. taxes) = $ _________ Shipping & Handling (first copy): $ 5.00 Shipping & Handling on _______ additional copies @ $3.00 each: $ _________
TOTAL: $ _________
Name: __________________________________________________ Address: __________________________________________________ __________________________________________________ Telephone: __________________________________________________ E-mail: __________________________________________________
I enclose my cheque made out to Dilemma Productions Inc. for the total amount of $ __________ |
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Please mail this form with cheque or money order to: |