Order form for Check or Money order

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

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

 

QTY

PRICE

Select DVD or VHS video 

DVD $20.00
VHS $14.00

 

Product Cost
SHIPPING 
U. S. Shipping $3.00
$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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