Order form for Check or Money order

Please fill out the order form below to receive your  order.
SEND
Check
or Money Order (In U.S. dollars) :

Video Image Productions Inc.
P.O. Box 701
Winston, GA 30187

 

QTY

VHS tape only

PRICE

$16.00 each
$16.00 each

$20.00 each

SHIPPING 
U. S. Shipping $4.00
$1.50 each additional tape.
  Canadian & other International Orders 

U.S. Only. 2nd Day Air  $14.99 first video
+ $3.00 each additional

TOTAL 


 privacy statement

First Name:

  Last Name:

Company:

(if applicable) 

Address 1:

Shipping (Street/UPS) address

Address 2:

Add'l (P.O. Box, 2nd add. line)

City:

State:

 Zip/Postal Code:

Province:

Country:

Email:

Special Instructions or Alternate Shipping Address:

 
Payment

SEND
Check
or Money Order (In U.S. dollars):

Video Image Productions Inc.
P.O. Box 701
Winston, GA 30187

 

                 

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