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*Required information.
First Name * Enter your first name - required field
Last Name * Enter your last name - required field
Email Address * Enter your email address - required field
Name of Organization Enter organization name if any - not a required field
Phone Number * Enter your phone number, include area code - required field
Shipping Address 1 * Enter street number and street name of shipping address - required field
Shipping Address 2 * Enter apartment or suite number of address - required field
City * Enter City - required field
Province / State * Enter Province or State
Postal Code / Zip Code * Enter postal code or zip code
I would like to order: * Choose type of DVD and currency
Shipping & Handling * Choose appropriate shipping option
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If you are ready to place your order, click the SUBMIT button. You will receive an email confirming your order and the total amount due. You will also receive instructions for forwarding your payment. Please note that payment can only be made by cheque or money order.