Order Form
(please print this form from your browser and fill in appropriate information)

Enclose a check or money order including shipping charges, or send an organization purchase order. We also accept Visa and Mastercard by phone. Massachusetts residents add 5% sales tax. Make checks payable and mail this form to:

Cambridge Documentary Films, Inc.
P.O. Box 390385, Cambridge, MA 02139
Tel 617.484.3993
Fax 617.484.0754

A non-profit organization

Title(s):
_________________________________________________
_________________________________________________
_________________________________________________
Date(s) Required:
______________________________
Alternate Date:
_________________________________
Format:
Rental/Purchase:

VHS
One Day Rental

DVD (purchase only)

Two Day Rental

 

 16mm Film
Purchase
PAL (25% price increase)
* Fields Required for Fulfillment of Order
Please include Name, Department and Organization or Institution
 
*USER NAME ________________________________________________
*USER DEPARTMENT __________________________________________
*ORGANIZATION ______________________________________________
*Ship to:
 Bill to: (if different form Ship to)
*NAME __________________________________ NAME _______________________________
*ORGANIZATION _________________________ ORGAN. ______________________________
*ADDRESS ______________________________ ADDRESS ____________________________
________________________________________ ______________________________________
*Phone _______________________________ Phone ___________________________

*E-Mail of Orderer ___________________________________________________
*E-Mail of User ______________________________________________________
*Rental/Sales Agreement
We agree that this rental or sale is for educational non-theatrical use only. We further understand that this film or video is protected by U.S. copyright code and under no circumstances may it be duplicated, reproduced (by vtr or any other means), televised, put on the internet, or transmitted in whole or in part.
*Signature ______________________________________________