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Order Form

Applicant Information:

Your Name:
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Street Address:
Suite/Apartment No.:
City: State/Prov:
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Order Quantity :
Amount due for each video tape : US $29.95 + $6.00 Shipping & Handling

Selection of Payment:

Note: We can also accept payment by credit card for purchase orders in order to avoid delays in processing. If you do not wish to submit your credit card information online, you may give us your credit card information by calling (310) 826-9664.

My credit card information is included below.
I will phone your office with my credit card information.
I will send in the payment.

Send your payment to :
International Distributers Association
11693 San Vicente Blvd, Suite 120
Los Angeles, CA 90049

Credit Card Information:

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International Distributers Association !