Order Form for
The Birth of Neko Pilara - a birthing film.

Name

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PAL DVD

I would like to order (type in number) of The Birth of Neko Pilara

The cost for this purchase, at NZ$75 per video is

NTSC DVD (USA)

I would like to order(type in number) of The Birth of Neko Pilara

The cost for this purchase, at NZ$75 per video is


The Total Number of videos I am ordering is(type in a number)



Please Calculate totaL cost of videos.

Please Calculate packaging & postage: within New Zealand, NZ$5 each, international, NZ$10 each.
For orders of five or more packaging and postage charges are halved.

Please add total video cost and packaging/freight cost:


Your order will be dispatched within five working days of receiving payment.

Payment


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Payment by cheque:
Please make cheques payable to
Golden Bay Films, and send along with a printed copy of this order to: