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.
 

 

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 $ __________

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