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| Bill To: | Ship To: |
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| Company Name | Company Name |
| Street Address | Street Address |
| City | City |
| Province/State | Province/State |
| Postal/Zip Code | Postal/Zip Code |
| Telephone | Telephone |
| Quantity | P.O. # | Description of Materials | Unit Price | Total |
46 min 15 sec DVD Red Road documentary enclosed in black Amary 14 mm Movie Style case with sleeve insert including Public Performance Rights. |
$400 (Off-Premise licence)
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*"Off-Premise Licence" allows exhibit of DVD within the physical boundaries of the institution and borrowing by students, faculty and staff of the institution without charge for private viewing.
* Shipping and Handling extra
Special Shipping Instructions:
Send Cheque, Money Order or Purchase Order to:
| Lost Heritage Productions Inc. |
| 27 Adler Ave |
| Hamilton, Ontario |
| L8W 3C3 |
| Tel/Fax: 905-385-7260 |
| email: info@novamulti.com |
