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:

(or use your browser's print button)

Questions? Email us!

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