ANDREA LELAND HOME VIDEO ORDER FORM |
Use this form when ordering videos for personal, in-home use only.
This form is not for orders by institutions, community groups, libraries or schools.
Please provide the following information:
Name:
Address:
City:
State:
Postal Code/ZIP:
Country:
Phone:
Email:
| Items in bold are required to process your order. |
| Title | Quantity |
Price each |
= |
Subtotal |
| Jamesie, King of Scratch (available in DVD format only) |
$45 |
= |
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| The Garifuna Journey | $35 |
= |
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| The Long Road Home | $35 |
= |
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| Voodoo and The Church In Haiti (available in DVD or VHS video format) |
$35 |
= |
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| *Shipping is $12.00 for the first video, and $3.00 for each additional video. >> | Subtotal | = |
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| *Shipping | = |
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| Total | = |
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Mail this form, along with your check, to:
Andrea E. Leland
530 Forest Avenue
Evanston, Illinois 60202
USA
Checks must be in US$ payable to " Andrea E. Leland"