ORDER FORM
"Print and Mail" or "Print and Fax"

If your preference is to "Print and Mail" or "Print and Fax" your order, please fill out all requested information on this Order Form - including shipping address and payment information.

To submit your order on-line using our Shopping Cart, please follow this link:  http://www.specialinterests.com/fsipg.htm




Print and Mail to: 
CREATIVE FILMS/SPECIAL INTERESTS,
P.O. Box 98, E. Setauket, N.Y. 11733

or

Fax to: 1-631-474-8940

Pricing (plus postage):

SPECIAL INTERESTS & CREATIVE FILMS
SV or CFV Titles = $30.00 each

LV and DKA
LV or DKA Titles = $40.00 each




ORDER FORM
"Print and Mail" or "Print and Fax"

CREATIVE FILMS/SPECIAL INTERESTS
P.O. Box 98, E. Setauket, N.Y. 11733

Fax to: (631) 474-8940

Quantity
Wanted


Item # - Title

Price



















































Postage (Canadian, U.S.A. add $6.00
foreign customers add 15%)






Sales Tax
(NYS Res. only please add 8.5%)






TOTAL



Ship To:

Name     
Address 1
Address 2
City
State
Zip
Country
Telephone
E-mail
PLEASE SPECIFY:  DVD   VHS   PAL
CHARGE YOUR PURCHASE
Billing will appear on your statement as: Special Interests, Inc.

Fax to: 1-631-474-8940
10am - Midnight - 7 Days a Week
NOTE:  No Exchages except defective tape will be replaced with same Title.
 


Card Number: 
Exp. Date (mm/yy) 
Special instructions/comments: 

Foreign Customers:
Please add 15% for air mail.
Please remit payment in money order in U.S. funds. 
No checks unless written on U.S. Account.



Please allow personal checks 10 - 12 days to clear
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