Mail-in Order Form

Caravan Serai Video Mail-in Order Form

To order videos by check or money order, fill in the form below, print it out and mail it to:

Zafira Dance Company
c/o Culture Shop
1602 1/2 East Carson Street
Pittsburgh, PA 15203

Enclose a check/money order payable to Zafira Dance Company. Shipping takes about two weeks via USPS Media Mail.

Your order:

Number of DVDs

x $32 -->DVD Total: $

Number of VHS Cassettes:

x $32 -->VHS Total: $

Shipping & Handling:

# of videos x $3 per video --> Shipping Total: $

Total Enclosed:$

Where should we ship your order?

Name:
Street Address:

City:
State:
Zip Code:

Special Instructions and Other Details:

If we have questions, how can we reach you?

Day Phone:

- -

Night Phone:

- -

Your Email:

Questions? Email us!

{Home} {Video} {Classes and Shows} {Gallery} {Zoe Workshop} {Bios}

Last Update: 11/10/04 by webmaster@zafiradance.com