Universe Productions Mail/Fax Order Form


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.