Welcome to Your German Video Source in the USA

Mail order form :

Fill out and Print.

Send with

US POSTAL SERVICE MONEY ORDER'S & US BANK CHECKS  US Checks or CASH ONLY

To:

Dieter @German Video

P.O. Box 2203

Branson West, MO 65737

USA

S/h is:

$ 6.50 one Video/DVD

And 1.50 each additional.

MOVIE TITLE                               PRICE                      OTY                               TOTAL

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Total Amount Due ______________

Total Payment Enclosed____________

Name______________________________________________________
Organization_________________________________________________
Street Address*_______________________________________________
City___________________________Country_________________________
State/Province_______________________Zip Code+4_______________________
Telephone: Daytime_____________________Evening_______________________