Moving Image Productions • 541-343-0441
Mail-in Order Form

To order by mail, with a check or money order, print out this page,
fill in the information, and send the form and payment to:

Moving Image Productions, P.O. Box 5365, Eugene, OR 97405
Title # of
Tapes		 . Cost
per Tape
Shipping/
Handling
 .
Totals
Justice on the Table


 . X


 $20.00
+ $3.00
1st tape,
$1.00 each
additional
.=

 .
Coffee? -- English Version . X $19.95
$0.00
 .= .
Coffee? -- Spanish Version . X $19.95
$0.00
 .= .
Ganas means Desire . X $14.95 $0.00 .= .
Hoedads... Together Again, 2001 . X $35.00 $0.00 .= .
Speaking for Wetlands . X
$14.95
 $0.00 .= .
We All Belong . X
$14.95
$0.00
=
 .
Grand Total .

Enclosed is a check/money order for $ .................., the total cost of the videos that I have selected above.

My mailing address and contact information is:

Name:........................................................................................................

Organization:...........................................................................................

Street:.......................................................................................................

City, State, Zip:.......................................................................................

Phone: ...........................................Email: ............................................
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