ORDER FORM

To order video cassettes or DVDs of Ralph Bunche: An American Odyssey (117 minutes, VHS color), mail/fax your purchase order to the address below. OR complete this order form and mail it to us with your check or money order. Tapes are available for sale and/or rental for educational use only (Public performance rights included). Video-indexed version available upon request.
SALE PRICE RENTAL PRICE DATE OF SCREENING* QUANTITY AMOUNT  
$195.00 $75.00  

Check here for VHS or DVD 
High School buyers, take 25% off:
Shipping & Handling: $10/VHS-DVD + $2/each additional (up to $20):
Next Day delivery, add $15:
NY Sales Tax, if applicable:
Total Due:
* Rental only

Inquire about our volume discounts.

Complimentary color poster:   Yes       No


BILL TO:   (Please attach purchase order, check or money order. To charge, see below.)

Institution:   Dept.
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Address:
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Date:   Signature: _______________________________________     

SHIP TO:   (For UPS and/or FedEx delivery, please provide street address) 
Institution:   Dept.
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Address:
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MAIL TO:
WILLIAM GREAVES PRODUCTIONS, INC.
Fax: (212) 315-0027   Call Toll Free: 800-874-8314
wmlgreaves@aol.com
www.williamgreaves.com