VIDEO order form

Personal informations:

Name:
E-mail:
Address:
City:
State:
Country:
Zip:
Phone: ()
Fax: ()

Video tape:

Language:
System: NTSC (22.75$)
PAL (24.75$)
SÉCAM (24.75$)
N-PAL (24.75$)
M-PAL (24.75$)
Quantity:

5,00$ per shipment (shipping and handling) will be added to your order.
Please allow 2 weeks for delivery.

Not sure about the video format used in your country....

Audio tape:

Language:
Quantity: x 5.00$

5,00$ per shipment (shipping and handling) will be added to your order.
Please allow 2 weeks for delivery.

The Unforgettable Moment book

Quantity: x 6.95$

5,00$ per shipment (shipping and handling) will be added to your order.
Please allow 2 weeks for delivery.

Total of your order:

Credit card information:

Type: Visa
Mastercard
Number:
Expiration date:
Name:

Comment:

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