Order Form

Name______________________________  Send to: Version Française
Address___________________________           4930 Saint Elmo Avenue
City/State________________________           Bethesda, MD  20814
Zip/Postal Code___________________           U.S.A
Country___________________________           Fax: (301) 656-1658
                                             Toll-Free: (800) 835-7537
Email address_____________________           From Outside US: (301) 654-2224
Phone_____________________________                        
Fax_______________________________


Item#           Description             Quantity    Unit Price      Total
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Postage and handling for Orders in the US:               Subtotal  _________
Music (Cassettes and CDs)                                Shipping  _________
$5.00 for first three items.                             Sales Tax _________
$.50 for each additional item.                           Total     _________
Video and Books                         
$5.00 for first item
$1.25 for each additional item                                                      
Maryland residents must add 5% sales tax.

Postage and handling for orders outside the US:
Music (Cassettes and CDs)
$8.00 for the first three items.
$2.00 each additional item.
Videos
$8.00 for the first item.
$4.00 for each additional item.
THERE IS A SURCHARGE OF $6.00 ON ALL INTERNATIONAL ORDERS.

Make checks (payable in US funds only) to Version Française

Method of Payment:  Check:___  Credit Card:_____
_____________________________________________________________________

VISA:______________       MasterCard:______________

Card Number:_______________________

Exp. Date:_________________________

How did you learn of our site?____________________________________________

Thank you for your order!