voodoo and the church in haiti

"A classic film about Voodoo that dispells Hollywood stereotypes."		  



  ELECTRONIC ORDER FORM - GROUPS
  (Libraries, Museums, Non Profit Organizations, Public High Schools)
 
Fill out and submit the form using the "Submit Order" button at the bottom. Please note, this is not a secure form, and credit card orders are best sent via mail or fax. You can contact Karen at Transit Media with any questions:
                                   Phone: 800-343-5540
                                   Fax: 845-774-2945
                                   Email: Karen@transitmedia.net

Please enter the number of DVD/VHS purchases or rentals in the "Quantity" column, along with your shipping preference.


 PROGRAM QUANTITY  TOTALS
Voodoo and The Church In Haiti purchase at $99 each
Voodoo and The Church In Haiti rental at $60 each
Shipping method
        GRAND TOTAL
 

DVD or VHS format:

Date(s) Needed:

Special instructions or comments (if any):
Request closed-captioned version for deaf audience here.

 



Fill in your payment option below (authorized purchase order, credit card, or check), along with shipping and billing information.


Authorized Purchase Order
Institution
Purchase Order #
 
Credit Card
Credit Card
Card Holder Name
Card Number
Card ID
[Card ID is 3 digit code "printed" on the back of your credit card, to prevent fraud.]
Expiration Date Month (MM)   Year (YY)
 
Shipping Address
Ship Name
E-Mail
Institution
Department
Address
(No P.O. Boxes please)
City
State
Postal Code/ZIP
Country
Telephone
 
Billing Address (if different)
Bill Name
E-Mail
Institution
Department
Address
 
City
State
Postal Code/ZIP
Country
Telephone

           
   
( To purchase another title, use this menu to go directly to that title's Group Order page.)