| Qty | Video | Price | Amount |
| ___ | Formation Skydiving Video (edited video plus raw footage) | $40.00 | _________ |
| ___ | Canopy Formations Video (raw footage only) | $25.00 | _________ |
| ___ | Freefly, Freestyle & Skysurf Video (raw footage only) | $25.00 | _________ |
| Add $5.00 for each tape shipping within USA | _________ | ||
| Add $10.00 for each tape shipping outside USA | _________ | ||
| Add $5.00 for each PAL tape | _________ | ||
| Total Amount Enclosed |
_________ |
Ship to:
|
Name: |
______________________________________________ |
|
Address: |
______________________________________________ |
|
City/State/Zip: |
______________________________________________ |
|
|
______________________________________________ |
Print this form and mail with check or money order (send cash at your own risk!) to:
Tim Wagner
1340 S Edith Dr
Chandler, AZ 85249
e-mail timw@omniskore.com
Phone 480-792-9322