Amazon's Prod - 44, rue Henri-Barbusse - 94800 Villejuif - France

Printable Order Form

SHIP TO:

 BILL TO:

Name:        _______________________

Name:       _______________________

Co. Name: _______________________

Co. Name: _______________________

Address:    _______________________

Address:    _______________________
Address:    _______________________ Address:    _______________________

City:___________________ State:___________

 City:___________________  State:__________
Zip:__________ Country:_______________ Zip:__________ Country:_________________

PAYMENT METHOD (Euro only) :

Check#:_______   Amt. enclosed: ___________

 Phone:  (____) -______-________

Email Address; _____________________

 Fax Number: (____) -______-________

Just print out this form and fill in the details and then Mail it in. Thank You.

Make Check payable to Amazons-Prod, Inc.  

Please supply the following items
AMP PRODUCT DESCRIPTION Format:
VHS/PAL or
DVD-R		 QTY Price NTSC (add 6 € to each video ) TOTAL AMOUNT
. . . .  
. . . .  
. . . .  
. . . .  
. . . .  

Shipping & Handling Charges: included

 SUBTOTAL
Ordered by x TOTAL DUE
Approved by x Date: .
To order by check, (we are not responsible for cash in the mail, but we do accept it) print out the order form and send in to our address. Money Orders are processed upon receipt, checks are held till they clear the bank. It helps if you give us your emailing address if we have any questions for you. It's quicker than having to write you back.