Order
Form
Scleroderma Video Series
VHS Video Cassettes
See below for Credit Card options
| Name: | Telephone: |
| Address: | email: |
| City / State / Zip | |
| Qty | Item | Description | Unit Price | Total |
| Volume 3 | 1996 Conference Video | $19.95 | ||
| Volume 12 | 1998 Conference Video | $19.95 | ||
| Volume 13 | 1998 Conference Video | $19.95 | ||
| Volume 15 | 1999 Conference Video | $19.95 | ||
| Volume 17 | 1999 CNJ Conference Pt 1 | $19.95 | ||
| Volume 18 | 1999 CNJ Conference Pt 2 | $19.95 | ||
| Volume 19 | 1999 Tri-state Conference | $19.95 | ||
| Volume 20 | 2000 Tri-state (Feb 2000) | $19.95 | ||
| Volume 21 | 2000 Tri-state (May 2000) | $19.95 | ||
| Volume 22 | 2000 Tri-state (Nov 2000) | $19.95 | ||
| Volume 23 | 2000 CNJ Conference | $19.95 |
| Subtotal: | |
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NYS Sales Tax (New York residents only) |
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Shipping / Handling: $5.00 per order |
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Total: |
To complete your order, please print this page, make your selections, and mail with your payment to
Starlight Productions
PO Box 127,
Sugar Loaf, NY 10981-0127
We cannot accept orders outside of the United States and Canada
Terms: Check in Advance only, orders shipped via Priority Mail in United States. Canadian orders must be paid in US dollars, with checks confirmed by a US bank.
Returned checks subject to penalty of $30 in addition to value of said check.
Defective tapes will be exchanged within 10 days of customer receipt.
Videos are intended for informational use only, neither Starlight Productions or the speakers featured in these videos make any specific endorsements or recommendations for individual treatments. Patients are advised to discuss their treatment options with their own physicians or other healthcare professionals.
Credit Card orders...
We can accept Visa / MasterCard orders through Paypal Inc.
To order via credit card, please email us the following information...
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your name
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address (if you live in NY state please include your county)
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telephone #
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Videos (please specify quantity, and Volume #s) you'd like to purchase
Click here to email us: starl@warwick.net
Do not send us a Credit Card #
Upon receipt of your email, you will receive an email from Paypal invoicing you for your order. Follow their prompts to set up an account. They will advise us of your payment and your order will ship on the next business day.