Order Form

TO PLACE A ORDER, fill out and print out this form and fax or snail mail it to us with a check or money order or Visa/Mastercard for the total of the titles you want, plus $6.00 per order for shipping via U.S. Post Office-Priority mail, Insured. Or $4.00 per order via Media Mail, Insured. Orders normally shipped in 1-3 days. Out of country, Canada $6.00 up to 3 titles. UK and surrounding countries 10.00--20.00 with insurance. Sorry, no COD's.
Michigan residents must add 6% sales tax.


	Mail to Encore Entertainment Inc. P.O. Box 25 Frankenmuth, MI. 48734-0025


	If you'r in a rush you can phone us at 989 652 9699. Or e-mail us at sales@encorehomevideo.com ALL Programs $18.88 each unless priced otherwise. Deduct an additional 10% for order of 3 or more programs.


	Please fill in information and print out form


	Name


	Currency Converter


	Business or 2nd address


	Titles Wanted


	Address


	City


	State/Country


	Phone


	email


	Visa/Mastercard


	Expires


	Postal/ZIP


	Order total


	Address for card and ZIP, if different


	Signature


	U.S. Shipping

Priority

Media


	Format Wanted

NTSC VHS U.S.

DVD


	*CVV2 Number

Check Enclosed

PAL DVD-R-Europe

PAL VHS-Europe


	Note: On the back of your credit card, there is a long series of numbers in the signature line. Please enter the LAST 3 DIGITS of that number here.


	Please check the specifications on our DVD-R format before ordering. Your Email address is important even if you are mailing this form in, in case we should need to contact about this order. Thanks.