Duplication requested by:
Fields marked (*) are required
Email Address:*
First Name:
Last Name:
Address:
City:
State:
Phone:*
Program requested
Program Title:
Date Aired:
Number of DVDs (limit 5):
Payment Method (Check One)
PayPal:
Check:
Cash:
Delivery Method (Check One)
Hold & Notify:
Mail:
Mailing charge: $5 for up to 5 DVDs
Be sure to give phone or email for notification
Please call us at (707)961-1127 if you wish to order more than 5 DVDs
Allow one week for duplication. If you need duplication sooner or by specific date, please so indicate in the "Special instructions" area below.
Special Instructions: