Tips & Ideas Options & Prices "DeLuxe" Order Form Script Form

"Economy" DVD ScrapBook Order
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Print this form on your printer and enclose with order and mail to:
Audio Video Memories, 2280 Henderson Rd. Columbus, Ohio 43220-7333

Qty

Item

$/ea.

Total

Notes

1

 Opening text/graphic screen

N/C

0.00

  

1

 Closing text/graphic screen

N/C

0.00
Pictures or Documents $1.75

1

 Master DVD or VHS tape

N/C

0.00
Additional DVD's, ea.

$8.00

Additional VHS tapes, ea.

$8.00

S&H, insured. Order $100.00 or more

 N/C

0.00

S&H, insured. Order $100.00 or less

$13.00

Total:
Ohio Customers add 6.75% Sales Tax:

Total:

Questions? Call our toll free number 1-866-326-1255
Shipping and Contact Information
First Name  
Last Name  
Street Address  
Address (cont.)  
City
State/Province  
Zip/Postal Code  
Above address is a

Residence?

Business?
Work Phone  
Home Phone  
   

E-mail
Please print clearly

  
Payment Information
Visa MC Check Checks are deposited on receipt. The completed order may be held until the check clears.

Cardholder Name

  

Card Number

   exp:

Signature

  
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Prices are subject to change without notice. This page was last modified on 01/31/07.