Order Form
(Special Note: please make sure to fill out all fields unless specified otherwise.)

Sam Houston and Pioneer Spirit are available only on VHS.

Purchase Order No.
Your Name
Title


Bill To:

Organization Name


Billing Address


City

State Zip

Phone () -

Delivery Information:

Organization Name


Mailing Address (For Priority Mail)


City

State Zip

Phone () -

Fax () -

E-mail (Very Important)


All orders are confirmed by email.
I WANT TO ORDER:
Title Qty
The Wild West Story of Buffalo Bill Cody
The Quest for Freedom (Harriet Tubman)
Tragedy to Triumph (Helen Keller)
The Susan B. Anthony Story
The Cost of Freedom (William Travis)
Sam Houston, Man of Honor
Tragedy in the Graveyard (Mark Twain)
Forget Me Not (Anne Frank)
For All Mankind (Thomas Edison)
The Peanut Man (George Washington Carver)
The Pioneer Spirit
 


I have chosen videos.

(Include FREE video in above total.)


My total cost is: $

(Refer to "Pricing Structure" below.)

1 = $80; 2 = $160; 3 = $160;
4 = $210; 5 = $260; 6 = $310;
7 = $360; 8 = $410; 9 = $460;
10 = $510; 11 = $560

Please use this total on your P.O.

Date you would like videos to arrive:


Special Instructions
Please specify if you want DVD or VHS below.
If you don't specify DVD, you will be shipped VHS copies.
Sam Houston and Pioneer Spirit are available only on VHS

Thank you.



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Grace Products Corporation
1771 International Pkwy., Suite 111
Richardson, TX 75081-1831
Toll Free 1-800-527-4014
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