| ORDER FORM............Mail For Fax To: | Insight M.C.C. Inc. |
| Ph: 831-458-1628 ..............Fax 831-458-1628 | 507 Darwin St, Santa Cruz, Ca. 95062 USA |
| QTY |
TITLE
|
DVD Price
|
Extended Price |
| "Streets On Fire" | $95.00 | ||
|
"Speaking Out For Change" |
$95.00 | ||
|
"The Path To Empowerment |
$95.00 | ||
|
"Traditional Expressions" |
$95.00 | ||
| "Images That Speak" | $95.00 | ||
| "Homeland Around The World" | $95.00 | ||
| "The Effects of War" | $125.00 | ||
| "The Hmong" | $125.00 | ||
| "The Khmer Historical Mural" | $95.00 | ||
| "Global Mosaic" | $55.00 | ||
| "Walls That Speak" | $55.00 | ||
Youth On The Edge - My Crazy Life ( Four Program Set 1 DVD) |
$165.00 | ||
| Youth On The Edge - Warning Signs (Two Program Set 1 DVD) | $85.00 | ||
| Youth On The Edge - "Streight Talk " | $85.00 | ||
| Youth On The Edge - Full Set 3 DVD | $ 225.00 | ||
| "Indochina Series": Three Program Set - One DVD | $ 225.00 | ||
| "Latino Gang Series": Three Program Set - One DVD | $ 195.00 | ||
"Multicultural Workshops": Three Program Set One DVD |
$ 175.00 | ||
| "Full Series": Eleven DVD Set Three DVD's (Youth On The Edge Not Included) | $ 375.00 |
|
Purchase Price Entire Series:
|
Purchase / Rental Subtotal ........$____________ Preview Subtotal ...................$____________ |
|
Purchase Order: No._______________________ Requested By______________________________ |
Add 5% Shipping & Handling... $____________ CA Residence Sales Tax ..........$ ___________ |
|
Make Checks Payable To Insight M.C.C. Inc |
GRAND TOTAL:................$____________ |
| Ship To: | Bill To: |
| Name: | Name: |
| Title/Dept: | Title/Dept: |
| Address: | Address: |
| City / State | City / State |
| Zip: | Zip: |
| Phone/Fax | Phone/Fax |