EAGLE VIDEO OFF-LINE ORDER FORM
Name:________________________________________________________
Address:______________________________________________________
City:__________________________ State:___________________ ZIP CODE: _____________
Phone #: _______________________
ORDER
Item 1____________________________________________Price:______________
Item 2____________________________________________Price:______________
Item 3____________________________________________Price:______________
Item 4____________________________________________Price:______________
Item 5____________________________________________Price:______________
Item 6____________________________________________Price:______________
Item 7____________________________________________Price:______________
SUBTOTAL :_____________
TOTAL :______________
SHIPPING CHARGES VIA
UPS GROUND -1 DVD: $7.00 Each additional DVD, add $1.00 per Video
RIGHTS ON VIDEO MOVIES:
All programs licensed for home and non-theatrical use only. Duplication and
broadcast in any form are prohibited.
Signature: ____________________________________Date: _________________________
Download and print this form then MAIL the COMPLETED ORDER TO:
Eagle