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Text File  |  1998-04-16  |  4KB  |  71 lines
  1.                                                    VIDEO ORDER FORM                            
  2. Name:_________________________________________________
  3.                             
  4. Address:_______________________________________________
  5.  
  6. Phone #:_______________________________________________
  7.  
  8. Payment:    MC______        Visa______            Check #____________    
  9.  
  10. Card #:________________________________        Expiration Date:_______    
  11.  
  12. Signature:___________________________________________________    
  13.                             
  14. Quantity    Description                                                                                   Unit Price             Total
  15.                  Metal Fighter - Miku Vol I (Episodes 1-3)           Now Available             19.95    
  16.                  Metal Fighter - Miku Vol II (Episodes 4-5)      Now Available                 19.95    
  17.                  Metal Fighter - Miku Vol III (Episodes 6-7)     Now Available            19.95    
  18.                  Metal Fighter - Miku Vol IV (Episodes 8-9)         Now Available                         19.95    
  19.                  Metal Fighter - Miku Vol V (Episodes 10-11)    Now Available               19.95    
  20.                  Metal Fighter - Miku Vol VI (Episodes 12-13) Now Available             19.95
  21.     
  22.                  Zenki Vol I (Episodes 1-3)                                     Now Available             19.95
  23.                  Zenki  Vol II (Episodes 4-5)                                   Now Available             19.95
  24.                  Zenki  Vol III (Episodes 6-7)                                  Now Available             19.95
  25.                  Zenki Vol IV (Episodes 8-9)                                   Now Available             19.95
  26.                  Zenki  Vol V (Episodes 10-11)                               Now Available             19.95
  27.                  Zenki  Vol VI (Episodes 12-13)                             Now Available              19.95    
  28.  
  29.                  Slayers Vol I (Episodes 1-4)       [ ] Sub [ ] Dub            Now Available        19.95    
  30.                  Slayers Vol II (Episodes 5-7)      [ ] Sub [ ] Dub          Now Available         19.95    
  31.                  Slayers Vol III (Episodes 8-10)   [ ] Sub [ ] Dub            Now Available          19.95    
  32.                  Slayers Vol IV (Episodes 11-13) [ ] Sub [ ] Dub            Now Available     19.95    
  33.                              Slayers Vol V (Episodes 14-17) [ ] Sub [ ] Dub            Now Available     19.95
  34.                              Slayers Vol VI (Episodes 18-20) [ ] Sub [ ] Dub            June/98     19.95
  35.                              Slayers Vol VII (Episodes 21-23) [ ] Sub [ ] Dub            Aug/98     19.95
  36.                              Slayers Vol VIII (Episodes 24-26) [ ] Sub [ ] Dub            Oct/98     19.95
  37.  
  38.                              Inachu Ping Pong Club Vol I  4 Episodes  [ ] Sub                                Sep/98     29.95
  39.                              Inachu Ping Pong Club Vol II  4 Episodes  [ ] Sub                             Dec/98     29.95
  40.                              Inachu Ping Pong Club Vol III  4 Episodes  [ ] Sub                                TBD     29.95
  41.                              Inachu Ping Pong Club Vol IV  4 Episodes  [ ] Sub                             TBD     29.95
  42.  
  43.                  Dancougar Vol I (Episodes 1-5)                         Now Available                        19.95    
  44.                  Dancougar Vol II (Episodes 6-10)                      Now Available                          19.95    
  45.                  Dancougar Vol III (Episodes 11-15)                  Now Available                19.95    
  46.                  Dancougar Vol IV (Episodes 16-20)                  Now Available              19.95    
  47.                  Dancougar Vol V (Episodes 21-25)                   Now Available                19.95    
  48.                              Dancougar Vol VI (Episodes 26-30)                        Now Available                        19.95
  49.                              Dancougar Vol VII (Episodes 31-35)                    Available    12/97               19.95
  50.                  
  51.                                 Here is GreenWood (Episodes 1-2)                                    Now Available                24.95
  52.                                 Here is GreenWood (Episodes 3-4)                                    Now Available                24.95
  53.                                 Here is GreenWood (Episodes 5-6)                                    Now Available                24.95
  54.  
  55.     Shipping & Handling*                        
  56.  
  57. All Titles are available in VHS (NTSC) Format.                            Subtotal........................................
  58.  
  59.                         Sales Tax (NYS residents apply applicable tax)    
  60.  
  61. Please specify how you would like your package sent:                        Total    
  62.  
  63. Shipping & Handling Costs             _____UPS Ground    _____UPS 2nd Day Air        _____Next Day Air    
  64.     UPS Grnd           2 Day Air     2nd Day Air    Next Day Air    US Mail    Priority Mail    
  65. 1 Item    $7.00      $9.00            $13.00            $19.00            $10.00       $15.00     
  66. 2 Items    $8.00     $10.00         $14.00            $20.00            $12.00       $17.00     
  67. 3 Items    $9.00     $11.00         $15.00            $21.00            $14.00       $19.00     
  68. (within the continental US)(Hawaii & Alaska)(US)(Canada Only)
  69.         
  70. * Note: Alaska & Hawaii orders must be sent  2nd Day Air.                            
  71.