Guerilla Films Video Order Form - USA

    You can print this form or copy it to your word processor. Fill it out and send it with your payment to:
    FUTURE VIDEO SERVICES Ltd
    2 Endeavour Way
    Durnsford Road Industrial Estate
    London SW19 8LH, UK

    or Fax it: + 44 (0)20 8946 2568

    Send me:-

    ___ James Herriot's Yorkshire at US$27.50 per video (US$90 for educational institutions)
    ___ Dylan Thomas: Return Journey at US$18 per video (US$50 for educational institutions)
    ___ Seaview Knights at US$15 per video
    ___ Another Time, Another Place at US$18 per video

    Add US$7.50 per video to cover airmail post, package and handling charges.

    I enclose a personal check/US$ money order for ___________ made payable to Future Video Services Ltd.

    If you want more than one copy or title please contact david@guerilla-films.com for discounts.

    Send my videos to:-
    Name:
    Address:
    City:
    State:
    ZIP:
    Country
    Telephone number:
    Email address (for order acknowledgment):

    IMPORTANT NOTE: The videos are available in different formats according to where they are viewed.
    Tell us in which country your video(s) will be viewed:

    If you have time, please show how you found us: Link from the James Herriot Home Page ___ | Link from the Dylan Thomas Home Page ___ | Via our listing in a search engine or directory ___ | Via a friend, relative or colleague ___ | Via a newsgroup___ | Via Realm magazine ___ Via British Heritage magazine ___ | Via Britannia magazine ___

    If you want to know more, e-mail david@guerilla.u-net.com or fax us on (44) 20 8758 9364.
    Thank you for your order.
    We will try to ensure that you receive your video(s) within 21 days of receipt of order.