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

Print and Fax to:  1-800-201-1868 - USA; Others, 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 toll free 1-800-201-1868 - USA only
All Others, Fax (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.
Call or Fax toll free:  1-800-201-1868 USA only
All Others Call or Fax:  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
 Custom Videos Available - Base Price $800
Write or e-mail daver@specialinterests.com.
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