Video Order Form

Please invoice me for the following items (check items):

Purchase on Approval:	$375.00 (US & International $295.00 US)
Three-day Executive Preview:	$45.00 (US & International $40.00 US)

Copyright Agreement: I understand and accept that this videotape is copyrighted material in accordance with and governed by national and international copyright laws and is not to be shown for profit, used for television or commercial screening. It is licensed for showing only to members of the purchasing organization and cannot be altered, loaned, re-sold or duplicated in any manner without the written permission of Desmond M. Connor

By checking this box, I agree to the terms of the above copyright agreement.
Date Checked:

Ship and invoice to:
Contact Name
Title
Organization
Department
Address
City
Province/State
Postal/Zip Code
Country
E-Mail
Phone
Fax

Other Instructions:

Click on "Send Order" to submit your order