Order Form
To order on-line please fill in the details below and then click on the Submit Form button at the bottom of the page.
First Name:
Last Name:
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City:
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Please Provide the following ordering information
Please send me: copies of the Voice Dialogue Series VHS Video and Audio set.
 Outside Australia
Private/Personal $US295.00 Includes Express air freight delivery to your street address.
*Institutions/Organizations $US595.00 Includes Express air freight delivery to your street address.
Note: No deliveries to Post Office Boxes

*Universities. Colleges, Schools, Libraries, Businesses, Management and Government Organizations.
 The "Institutions / Organizations" purchase allows the series to be used for teaching / training purposes within the institution and for lending to individuals who are part of that institution.

Video Format
Please indicate which video format you require
VHS format for for USA, Canada and Mexico (NTSC)
VHS format for U.K. and Europe, (PAL)

Please indicate which audio format you prefer:
Audios as 8 audio cassettes
Audios as 8 CD's

Billing
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Delivery Address (if different from above)
Address:
Address cont:
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Back | Home | Ecstatic States
P.O. Box 25, Rose Bay, NSW, 2029, Australia
Ph: +61 2 9371-3933 Fax: +61 2 9371-7099
Email: [email protected]