HOME VIDEO ORDER FORM

"The Life and Time of Evelyn Hart"

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.
 

 

DVD:  ______ copies at $30 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 $ __________

Please mail this form with cheque or money order to:
   
HOME VIDEO
Dilemma Productions Inc.
1027 West 8th Avenue
Vancouver, BC, Canada   V6H 1C3

 
Contact us if you have any questions at:
(604) 633-1441
       info@dilemmaproductions.ca