What films would you like (you may type in the spaces provided):

QTY	TITLE OF FILM and PRODUCT ID

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
*E-mail

* Your email address will be used only for confirmation of our receiving your order, and for confirmation of shipment.

How would you like it shipped:

Air Mail (Standard) 7 to 11 business days
Air Mail (Express) 3 to 5 business days

O/S Letter (for Canadian Customers only)
Expedited Shipping (for Canadian Customers only)
Xpress Post (for Canadian Customers only)

Enter the shipping cost:

Enter the total Cost (you send this much):

 *All totals are in United States Dollars (USD)

Notes for us:

* Click the "Printer" icon in your browser to print this page.

* Non US / Canadian residents sending a money order should ensure it is an INTERNATIONAL MONEY ORDER.  If unsure, tell your bank the order must be cashable at any bank in North America!  USA POSTAL MONEY ORDERS ARE NOT ACCEPTED!  THE MONEY ORDER MUST BE AN INTERNATIONAL MONEY ORDER!

FOR ALL ORDERS, PLEASE SEND AND MAKE PAYABLE TO:
6794050 Canada Ltd.
2850 Lakeshore Blvd., W., PO Box 80029
Toronto, ON M8V 4A1
CANADA

Please send an email to and let us know that we can expect an order from you!