Organization Order Form

Order Form For Organizations

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MAJESTIC PICTURES
Order Form For Organizations

Title (on VHS tape only)	Sale Price	Quantity	Total
Spouse Abuse: A Global Perspective	$99.99
Disillusion	$99.99
Black Culture and Media	$39.99

Shipping (All orders will be shipped by First Class mail unless other arrangements are made. $4.95 for the first item. $2 for each additional item.)
Total $

SHIP TO	BILL TO (if different)
Name	Name
Organization	Organization
Dept.	Dept.
Address	Address
City	City
State Zip Code	State Zip Code
Phone	Phone
Fax	Fax
E-mail	E-mail

MPTV.COM
E-mail:majestick@hotmail.com
Tel: (301) 596-9428
Fax:(301) 596-9428

Method of ordering tapes:

Institutions can mail or fax the order form.
*Please send Purchase Order on an official letterhead along with the above order form to:
Majestic Pictures
5517 Adams Ridge Road
Clarksville, MD 21029

Terms of Payments
For institutional orders only -- checks must be received within 30 days from shipment date.

Make check payable to Majestic Pictures

International or expedited shipping rates, Please contact us by: Email:majestick@hotmail.com

Shipping
No shipping to P.O. Box address.

Rights Included with Purchase:

All videos are leased for the life of the tape
Purchase does not include nor imply the right to duplicate, recast, edit, abridge, or transform the videos by analog or digital means or any other means whatsoever without the written consent of Majestic Pictures.
Purchase does not include nor imply the the right to transmit videos by analog or digital means by broadcast, cable, direct broadcast satellite, internet, and distance learning sites without the written consent of Majestic Pictures.

MPTV.COM
Email:majestick@hotmail.com
Tel: (301) 596-9428
Fax:(301) 596-9428