"All of Us: Part 1" Order Form

VHS Videotape Order Form:
"All of Us Part 1"
Close Captioned English, 37 minutes, NTSC Color
Spanish Language Dub available.

Please Fill Out Form completely.

Red indicates required data.

Name

Organization/Institution

Address1

Address2

City

State

Zip

Phone

Fax

Please Ship Immediately:

Units Title

Prices:

Select Language English (close captioned)

Spanish Dub

Shipping & Handling @$6.00 per videotape

Total Payment enclosed

Shipping Address

(if different from above):

Shipping Contact Phone :

Special Instructions:

Payment Type:

Check

Institutional P.O.

Corporate P.O.

Money Order

Other

Please Check Form for accuracy before submitting:

Preview Part 1:

Preview Parts 2, 3 & 4

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