ORDER FORM

Spanish Channel.net
4108 19th Street
Huntsville, Texas 77340

Phone Orders: 936-295-5767
Fax Orders: 936-294-0233
www.spanishchannel.net
info@spanishchannel.net

BECAUSE WE ARE AN EDUCATIONAL DISTRIBUTOR, PREPAID ORDERS ARE SHIPPED FREE OF CHARGE TO ANY DESTINATION WITHIN THE UNITED STATES! PURCHASE ORDER ARE SHIPPED FREE IF PAYMENT IS RECEIVED WITHIN 30 DAYS!
INTERNATIONAL SHIPPING RATES: ALL ORDERS SHIPPED OUTSIDE THE U.S. WILL BE CHARGED $20 FOR THE FIRST VIDEO, AND $5 FOR EACH ADDITIONAL VIDEO ORDERED.
    Date:

    Purchase Order No:

    Please Bill My Visa or Master Card:

    Card Number:

    Expiration Date:

    Signature

    Phone Number:

    Fax Number:

    E-Mail Address:

BILL TO:

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    SHIP TO:

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QTY.
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VIDEO TITLE
UNIT PRICE
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