Name:             
Organization:     
Street Address 1: 

City:             
State/Province:   
Zip/Postal Code:  
Country:          

Phone:            

E-mail:           

Response Method:  Send E-mail
                  Send surface mail
                  Please call

Payment Method:  Credit Card  Check  Call me back for CC

Please Type Order and Credit Card Information:

Type in the Order:        Specify HD shots

                                       List the 8 Shots by NUMBER (example--10A,23A)

                                       Specify DVD or HDCAM