BIPOLAR DISORDER & DEPRESSION ORDER FORM

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(Call about our "Straight Talk About Schizophrenia" video, which is also available!)

For fastest service, we suggest you order "on-line", using your credit card.  These orders are
shipped within 48 hours of receipt, OR you may print this form, and mail it with your check,
money order, or credit card information to:

AMERICAN VIDEO PRODUCTIONS CO.
7116-D Pippin Rd.
Cincinnati, Ohio 45239
or call:
 513-522-5700. (M-F, 10 - 2 P.M. EST)

Check orders are shipped seven days after receipt.

 

 

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    PURCHASE INDIVIDUALLY; $15.00 each

"Straight Talk About Bipolar Disorder" Video 

"Depression & Psychiatry" Video 

OR

ORDER COMPLETE SET FOR $25

$5 for shipping (first class mail)
and handling will be added to each order!

 

ALL VIDEOS ARE IN DVD-R FORMAT

SHIPPING INFORMATION
Name:  
Address:  
Address, 2nd line: 
City:  
State (or Country):  
Zip (or Postal Code):  
E-mail:  
CREDIT CARD INFORMATION
Amount Charged/Enclosed:  $  (Be sure to add $5 for s/h).
Credit Card Number: 
Expiration Date:  
Credit Card Type:   Visa    MasterCard  
Person's Name on Card: 

  

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Copyright 2008, American Video Productions Company