|
ORDER FORM for
the award-winning
educational video
"BREASTFEEDING and
Returning to Work"
Now on DVD! featuring Dr. Ruth Lawrence
PRINT THIS PAGE - or
click
here to order online
and save $10.00
FAX your order - 24 hr Faxline or MAIL your order
|

|
Only
$59.00
plus $5.00
shipping
DVD or VHS |
| Name____________________________________________________ |
Fax Order Form to:
919-779-7284
Mail Order Form to:
Eagle Video Productions
2201 Woodnell Drive
Raleigh, NC 27603-5240
Questions/Comments
1-800-838-5848 |
|
Title/Dept
_______________________________________________ |
| Institution_______________________________________________ |
|
Address
________________________________________________ |
| City/State___________________________________ZIP_________ |
|
Email
___________________________________________________ |
|
Phone
________________________________Ext ________
Fax _______________________________ |
|
BUY ENGLISH & SPANISH versions together to receive FREE
SHIPPING -save
$10.00
Call for Volume Discount Prices on 5 or
more videos
Item#
Quantity
Unit
Price
Subtotal
__________
__________
__________
______________
__________
__________
__________
______________
__________
__________
__________
______________
|
|
1 video -$5 2
videos -$7.50
3 videos-$10.00 US
S/H |
_____________ |
|
1 video -$8 2
videos-$11
3 videos-$15.00 CAN
S/H |
_____________ |
|
SUBTOTAL |
_____________ |
|
North
Carolina orders add 7% Sales Tax
NC
Sales Tax
|
_____________ |
|
Order Date____________ |
(US FUNDS ONLY)
TOTAL |
_____________ |
|
|
|
q I am
sending a check in the amount of __________________________(US Funds Only) |
|
q I am
using purchase order# _______________________________________ |
q I am
using a credit card # __________________________________________
expire ______/_______
circle one
 |
|
Name on the credit card
_________________________________________________________________ |
|
|
Found Out About the Video
From: ___________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
|
|

Special DVD Features:
*
12 minute Long
version *
Available in Spanish version
*
Chapter
Selections
*
English/Spanish Subtitles
*
Loop versions for waiting rooms and
conferences
*
Download free handout sheet
PRICING for "BREASTFEEDING & Returning to Work" video on DVD
Item #D6301
English
Professional Version
12 minutes
$59.00
Item #D6302 Spanish Professional Version
12 minutes
$59.00
Item #C6301 English
Closed Circuit
Version 12 minutes $159.00
Item #C6302 Spanish Closed Circuit
Version 12 minutes $159.00
PRICING for " BREASTFEEDING & Returning to Work" video on VHS
Item
#V6301 English
Professional Version
12 minutes
$59.00
Item #V6306 English
Closed Circuit
Version 12 minutes $159.00
Item #V6305 English
Waiting
Room-Looped 90
minutes $79.00
Item #V6302 Spanish Professional Version
12 minutes
$59.00
Item #V6307 Spanish Closed Circuit
Version 12 minutes $159.00
Item #V6305 Spanish Waiting
Room-Looped 90
minutes $79.00
|
|
Breastfeeding Video Home Page
Eagle Video Home Page |