Universe Store Mail Order Form

U.S. CUSTOMERS ONLY
MAIL THIS FORM
with your payment (check or money order) to:

Universe Productions
Attn: Fulfillment Dept.
P.O. Box 147
Washougal, WA 98671 USA



If you have any questions about your order, please call us toll-free at
1-360-835-7170.
_______________________________________________________________________________


Item:

Quantity:

Price:

The Universe
(DVD)
_______ x $  24.95 each= $___________

The Universe
(VHS)
_______ x $  19.95 each= $___________

Shipping & Handling (see rates at bottom of page):
             
 S & H

$___________
 
Subtotal:
$___________
  Tax
.077% (Washington state residents only):
$___________
 
TOTAL:


$___________
Billing Address (please print):
Name: Last ________________________________   First ___________________________
Address ____________________________________________________________________
Address 2 __________________________________________________________________
City _______________________  State ________  Zip __________  Country ___________
Phone _______________________   Email _______________________________________
 
Shipping Address (if different from billing address):
Name: Last _________________________________   First __________________________
Address ___________________________________________________________________
Address 2 __________________________________________________________________
City _______________________  State _______  Zip ___________  Country ___________

Is this a gift?
 __ No   Yes __   To: ___________________ From: ____________________

Message
___________________________________________________________________

U.S.A.: First Class mail: $3.99 for first item. Add $1.00 for each additional item in same package. Priority mail: $5.99 for 1-3 items in same package. $6.99 for 4 items in same package. **Order five or more items (going to the same address) and get FREE PRIORITY SHIPPING!** Express mail: $16.99 for first item; $20.99 for two items in same package; add $1.00 for each additional item in same package

CANADA:
Airmail: $4.99 for first item. Add $1.00 for each additional item in same package. Global Priority mail: $9.99 for first item; add $2.00 for each additional item in same package. Express Mail: $19.99 for first item; add $1.00 for each additional item in same package.

AUSTRALIA:
Airmail: $7.99 for first item; add $3.00 for each additional item in same package. Global Priority Mail: $12.99 for first item; add $3.00 for each additional item in same package. Express Mail: $20.99 for first item; add $3.00 for each additional item in same package.

EUROPE: Airmail: $7.99 for first item; add $4.00 for each additional item in same package.

**Orders sent to destinations outside the U.S.: Recipients may be subject to and are responsible for any duties and excise taxes.