ONEIRA MAIL ORDER FORM

ORDER FORM

COPY OR PRINT THE FOLLOWING TEXT
AND MAIL IT WITH YOUR PAYMENT TO ONEIRA PICTURES INTERNATIONAL
MAIL ORDER FORM

I order the following item(s) from Oneira Pictures International:

....... copies of the ........................................................ video

....... copies of the ........................................................ video

....... copies of the ........................................................ video

When I order two copies (or two videos) I will receive the regular 20% discount offered by the company. Three copies or more contact us by phone for shipping charges and discounts.
I have read and understood the prices, discounts and shipping and handling charges described on the How To Order page.
I will receive my order by mail within 4-6 weeks.

NAME:

ADDRESS:

CITY: ZIP/POSTAL CODE:

STATE/PROVINCE: DATE:

COUNTRY: E-MAIL ADDRESS:

PAYMENT:
INTERNATIONAL MONEY ORDER -- CERTIFIED CHEQUE

PAYMENT FOR ............ COPIES $............... IS ENCLOSED.

(Prices in Canada inlude GST+PST)

SEND E-MAIL CONFIRMATION ON MY ORDER: ......YES.......NO

We only accept international money order or certified cheque!
Please, do not send cash in the mail!

DO NOT SEND YOUR CREDIT CARD number! CONTACT US THROUGH TELEPHONE!

OUR MAILING ADDRESS AND TELEPHONE NUMBERS:

   ONEIRA PICTURES
           INTERNATIONAL
       4050 A Trafalgar Road
       Montreal, QC, H3Y 1R2, Canada
       Tel: (514) 934-2579 fax: (514) 934-9940

BACK TO HOW TO ORDER

NAME:
ADDRESS:
CITY:		ZIP/POSTAL CODE:
STATE/PROVINCE:		DATE:
COUNTRY:		E-MAIL ADDRESS:
PAYMENT:	INTERNATIONAL MONEY ORDER -- CERTIFIED CHEQUE PAYMENT FOR ............ COPIES $............... IS ENCLOSED.

COPY OR PRINT THE FOLLOWING TEXT AND MAIL IT WITH YOUR PAYMENT TO ONEIRA PICTURES INTERNATIONAL MAIL ORDER FORM

I order the following item(s) from Oneira Pictures International:

....... copies of the ........................................................ video

....... copies of the ........................................................ video

....... copies of the ........................................................ video

NAME:

COPY OR PRINT THE FOLLOWING TEXT
AND MAIL IT WITH YOUR PAYMENT TO ONEIRA PICTURES INTERNATIONAL
MAIL ORDER FORM