GROUP/SCHOOL ORDER FORM | BrunoFilms.com

GROUP, PUBLIC LIBRARY, SCHOOL ORDER FORM

Video cassettes may be purchased or rented for group, public library or school use only using the electronic form below, or your own form sent to the FILM LIBRARY address. Fill it out and send the form via email using the "submit order" button (not a secure form), or print it and send or fax to:

Ellen Bruno Film Library
Transit Media
P.O. Box 1084
190 Route 17M
Harriman, NY 10926

Tel: 800-343-5540
Fax: 845-774-2945
Email: info@transitmedia.net

Order Information & Policies

GROUPS, PUBLIC LIBRARIES, SCHOOL

PURCHASE ANY 1 DVD OR VIDEO FOR $89,
OR RENT FOR $60

SPECIAL OFFERS:

Collection Price: $400 for all five DVDs/Videos

15% Discount on all orders of two or more titles

PROGRAM	PRICE	QTY	SALE OR RENT	TOTAL DUE
Sacrifice	$89			$
Samsara	$89			$
Satya	$89			$
Leper	$89			$
Sky Burial	$89			$
All 5 videos (purchase)	$400		Special Price - $400	$
			SUBTOTAL
			15% Discount on orders of two or more titles.	$
			Shipping ($15 per title)	+
			TOTAL
Date(s) Needed:
Special instructions or comments (if any): Request closed-captioned version for deaf audience here.

Purchase Order #
FILL IN YOUR PAYMENT OPTION BELOW Along with Shipping and Billing Information
Authorized Purchase Order
Credit Card
Credit Card
Card Holder Name
Card Number
Card ID
[Card ID is 3 digit code "printed" on the back of your credit card, to prevent fraud.]
Expiration Date	Month (MM) Year (YY)
Check (by postal mail only)
Name on Check
Check Number
Shipping Address
Ship Name
E-Mail
Institution
Department
Address
(no p.o. boxes please)
City
State
Zip/Postal Code
Country
Telephone
Billing Address (if different)
Bill Name
E-Mail
Institution
Department
Address

City
State
Zip/Postal Code
Country
Telephone

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