VIDEO ORDER FORM
Please send the following videos
AHV # __________ Price $ ________
AHV # ________Price $ ________
AHV # __________Price $ ________
AHV # ________Price $ ________
AHV # __________Price $ ________
AHV # ________Price $ ________
AHV # __________Price $ ________
AHV # ________Price $ ________
Shipping and handling charges
$5.00 for 1 or 2 tapes $10.00
for 3 to 5 tapes $20.00 for 6 tapes or more.
Total Tape Charge $ _________
Total number of tapes_________
Shipping & Handling $_________
Total amount enclosed$ ________
Make checks or money orders payable to D.F.S.
Mail to: DFS PO Box 77606 Tampa Fl 33675-2606
[email protected]
Please print clearly
Name __________________________________________
Address_________________________________________
City, State, Zip ____________________________________
Email address_____________________________________
I am an adult, aged 21 or older, and I wish to receive the material
indicated on this form
______________________________________
Signature
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