Order Guide for Retail Rental Shops

$120 annual fee

50% discount with a bundle of 10 tapes/title/order

It is a violation of copyright laws to reproduce or duplicate the tapes.  Severe civil and criminal punishment will be provided for such unauthorized reproduction.

Business name

Address

owner/contact name:

street:

city, st zip:

phone:

fax:

annual fee

reg. #:
(If you pay, we will issue a reg number. Write the number when you order later.)

$120.00
(with your reg #: $0)

order titles

Item 1:
Item 2:
Item 3:
.(add more, if cecessary)
.

$_______  x 10 = $
$_______  x 10 = $
$_______  x 10 = $
.
.

amount due to us

total

$