VIDEO ORDER FORM

Home video: (for private use)                             

Institutional: (libraries, colleges and organizations)

(Institutions may also order by PO)

FIX: The Story of an Addicted City
Home use: $30  incl taxes plus $8 S/H = $38         
Institutional use:  $107 incl taxes plus $8 S/H = $115

___ VHS          ____number of copies

___ DVD          ____number of copies

A Place Called Chiapas

Home use: $22 incl taxes plus $8 S/H = $30
Institutional use:  $55 incl taxes plus $8 S/H= $63

 

___ VHS          ____number of copies

___ DVD          ____number of copies

Blockade

Home use: $22 incl taxes plus $8 S/H = $30
Institutional use:  $55 incl taxes plus $8 S/H = $63

___ VHS          ____number of copies

___ DVD          ____number of copies

A Rustling of Leaves:

Inside the Philippine Revolution

Home use: $22 incl taxes plus $8 S/H = $30
Institutional use:  $55 incl taxes plus $8 S/H= $63

___ VHS          ____number of copies

___ DVD          ____number of copies

Name:________________________________________________________________________

Address:______________________________________________________________________

Telephone:_____________________________________________________________________

email:_________________________________________________________________________

I enclose my cheque made out to Canada Wild Productions Ltd 

for the total amount of $________________

Please mail this form to:

Canada Wild Productions Ltd

1818 Grant StreetVancouver, BC V5L 2Y8

Contact us if you have any questions at:

betsy@canadawildproductions.com