| |
Ship To: |
Bill To:
(if different than Ship to) |
DVD Prices
Hard Plastic DVD Prices
Quantity Price Per DVD Shipping
1
$20
$8
2-3 $17 $10
4-10 $15 $12
11-50
$14
$18
Paper Sleeves DVD Prices
Quantity Price per packet
Shipping
50 $400
$10
100
$700 $20
200
$1300 $40
300
$1900
$60
400
$2500 $80
500
$3100 $100
600
$3700 $100
800
$4900 $100
 |
Name*
|
Name
|
Organization*
|
Organization
|
Street Address*
|
Street Address
|
City, State, ZIP*
|
City, State, Zip
|
Phone Number*
|
Phone
|
Email*
|
Date*
|
|
|
|
Quantity
(see DVD Prices) |
Subtotal |
|
Hard Case:
|
= $
|
|
Paper Sleeve:
|
= $
|
|
|
|
Shipping Cost |
+
$
|
|
Total Amount Due |
$
|
|
|
|
How did you hear about us?
|
|
|
Special instructions or comments:
By clicking Submit, you agree to
pay the "Total Amount Due" within 30 days of receiving
your shipment. Your invoice requesting payment and new DVDs
will be shipped in 2-4 weeks. |
|
|
|
|
|
