Name_______________________
Address_________________________________
_______________________________________
State_______ Zip_________
Movie title(s)
__________________________
__________________________
__________________________
__________________________
__________________________
(If more than five titles attach a sheet please.)
12.00 for VHS or $16 each for DVD postpaid.
order three or more VHS and they are $10 each
Payment option: check_______ money order______ cash______
Make all payments to:
Net Executive
202 Powderhouse Blvd.
Somerville,MA
02144
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