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Name ____________________________________________________

Address___________________________________________________

Address___________________________________________________

VHS______ DVD______

Number of copies _______

International orders accepted (please use credit card).
Add $5 for shipping and handling for domestic or international orders.
Only orders with the full amount of the VHS or DVD copy PLUS shipping and handling will be processed

Make the check out to Michael Burns and send to:

Michael Burns
PO Box 661
Vernon, CT
06066
USA