TELEDUCTION - Fax/Mail Order Form

INDICATE QUANTITY

Program 1

Program 2

Program 3

**For Oriental Rugs et. al., please specify episode numbers:

TELEDUCTION Fax/Mail Order Form
Each program costs $24.95 (includes shipping & handling) for U.S. orders and $39.95 (includes shipping & handling) for all non-U.S. orders. Please indicate quantity of DVD and/or VHS.
Non-U.S. orders: DVDs are Zone 1 only. Be sure your player can play this before ordering.
Please allow 2 - 4 weeks for delivery.
Please be sure to fill form completely, then print to fax or mail.

PROGRAMS

BILLING INFORMATION

SHIPPING INFORMATION (if different)

Credit Card
Cardholder Name
Card Number
Expiration
Security Code
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
E-mail

Name
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
E-mail

Fax this completed form to TELEDUCTION at (302) 429-7534
OR
Mail this completed form to:
TELEDUCTION, Program Orders, 954 S. Madison Street, Wilmington, DE 19801
You may also mail order form with check or money order to above address.