Video Ordering
     
 
     

      

 
   
   
         
    Tape Number:
Format (VHS, DVD, etc):
 
    
 
 
  
    Quantity (copies): Date Needed:    
        
    Shipping Method (priority, standard,or ground): Ordering Person's Name:    
        
    Ordering Person's Title: Ordering Person's Phone Number:    
        
    Ordering Person's Email Address: Ordering Person's Street Address:    
        
    Ordering Person's City: Ordering Person's State:    
        
    Ordering Person's Zip Code:      
    

   
    Name: Business Name :    
        
    Street Address:      
          
    City: State:    
        
    Zip Code: Daytime Phone Number:    
        
         
          
         

Get video number from
video lists then fill out form

Pricing for both DVD and VHS here

PROCUREMENT CARD NUMBER MUST
BE CALLED IN BEFORE ODER WILL BE PROCESSED
call: Patrick Byrd: 919-231-2121

.
Please fill in all information
or order can't be processed

 

 

 


 

 




Ship-to information

Can only ship to a street address,
can NOT ship to P.O. boxes