Please print this form out on your printer. Then go back to pages for
the tapes you are interested in and and use the pages to fill in the
tape name and price.

                             QUALITY FILM & VIDEO
                              232 Cockeysville Rd
                             Hunt Valley, MD 21030
                                 410-785-1920
                             Please print clearly

Name________________________________________ Date ____________________________

Street Address _______________________________________________________________

City ________________________________ State __________ Zip ___________________

Country ______________________ Phone (    )    -       Fax  (    )    -
_____________________________________________________________________________

 Quantity|      Name of Tape                             |  Price  | Total
_________|_______________________________________________|_________|_________
         |                                               |         |
_________|_______________________________________________|_________|_________
         |                                               |         |
_________|_______________________________________________|_________|_________
         |                                               |         |
_________|_______________________________________________|_________|_________
         |                                               |         |
_________|_______________________________________________|_________|_________
         |                                               |         |
_________|_______________________________________________|_________|_________
         |                                               |         |
_________|_______________________________________________|_________|_________
                                             |
Shipping and Handling charges:               |
In the contiguous United States using        |
US Postal Service Priority Mail.             | Merchandise Total....$_________
   No additional charge for "for sale" tapes.|
  $13 for free 'demonstration' tapes         |
                                             | MD residents add 5%
Outside of the contiguous United States.     |   sales tax..........$_________
  Add $8 per tape for all tapes.             |
                                             |Add Shipping/Handling
                                             | (per tape)...........$_________
                                             |
                                             |TOTAL AMOUNT ENCLOSED.$_________
_____________________________________________|________________________________
Make Check or Money Order (which must be issued by entities established in
the USA only and only in USA funds)  to: QUALITY FILM & VIDEO
____________________________________________________________________________

  Please allow 2 to 4 weeks for delivery -- Sorry: No C.O.D.'s