DWW ORDER FORM (FAX +43 1 350 72 90 18)

Your video system: O VHS-PAL (e.g. Europe, Australia) O VHS-NTSC (e.g. USA, Japan)

Select your videos: (Please state "EU-plus number" i.e. "EU-63" when ordering EU-series videos. All other videos can be ordered by number only!)

NOTE: If you order videotapes or DVDs to a value of $ 450 or Euro 300 or more at one time, all handling charges for this order are free, but tell us which despatch method you want.

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- number of items price
Total DWW-series videos: : :
Total EU-series videos: : :
Total BSA-series videos: : :
Handling charge (only once per order). Please note our handling charges (non-priority, priority or DHL express delivery) in our pricelist! Please do NOT choose SLOW non-priority surface mail and complain because it doesn't reach you quickly! See estimated delivery times in our price list! : :
     
Total amount, state currency ($ / EURO) : :
PAYMENT:
O Cash (any equivalent hard currency)
O Cash on delivery (COD) - COD valid within European Union only!
O Moneyorder payable to DWW ($ / EURO)
O Cheque made payable to DWW ($ / EURO)
O Credit Card
O Visa O Mastercard O Eurocard O Access

Card number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Exp. date: __________
I certify I'm at least 21 years old (signature required!) Signature: ________________________________

Please add me to your snail-mailing list  YES: O     ---  NO:  O
Please add me to your e-mailing list       YES: O     ---  NO:  O

My personal shipping number (max. 10 digits):

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 Put your name and mailing address here please:
Name :
Address


 :
City and Zip Code :
Country :
E-mail :

Please send this form together with your payment to DWW, Hannovergasse 25, A-1200 Vienna, Austria or send a Fax.