FOUR PALMS ROYALTY FREE DIGITAL VIDEO ® ORDER FORMShipping Instructions(please print)_______________________________________________NAME_______________________________________________ADDRESS (NO P.O. BOXES)_______________________________________________CITY STATE POSTAL CODE COUNTRY_______________________________________________DAYTIME PHONE NUMBER Title PRICE UNITS TOTAL
Aviation $ 149.99 _______ ________
Bridges $ 149.99 _______ ________
Highways $ 149.99 _______ ________
Marine $ 149.99 _______ ________
Rail $ 149.99 _______ ________
Occupations $ 149.99 _______ ________
Professions $ 149.99 _______ ________
Recreation $ 149.99 _______ ________
Relationships $ 149.99 _______ ________
Sports $ 149.99 _______ ________
U.S Scenes $ 149.99 _______ ________
European Scenes $ 149.99 _______ ________Any 4 titles above $ 499.99 _______ ________ Complete set of $ 1299.99 _______ ________all 12 titles
Editor's Special Edition $ 99.99 _______ ________(50 of our most memorable clipsin .AVI and QuickTime)
Starter Kit $ 24.95 _______ _______ (includes 20 clips in .AVI and Quicktime, demo, catalog, and a coupon)Shipping and handling $ 10.00 ________ Shipping and handling $ 30.00 ________(outside U.S.) Overnight delivery (optional) add $ 5.00 ________(Virginia residents add 4.5% sales tax) ________ TOTAL ________ FOUR WAYS TO ORDER1. Mail this order form to Four Palms, Inc. 11260 Roger Bacon Dr. Suite 502 Reston, VA 201902. Fax order form to 703-834-0219 3. Phone toll free 1-800-7-4PALMS (1-800-747-2567)4. E-mail to fourpalmcd@aol.comPAYMENT Check enclosed Charge my: Visa MasterCard Am Express ____________________________________________ CARD N0. EXP. DATE ____________________________________________ SIGNATURE
