Information and Order Form for Faxing, Mailing, or Telephoning Your Order
	Telephone: In North America call 1-800-347-5056 9 AM-5PM Eastern time, Monday-Friday.      Outside the U.S.: Call 212-877-5813 9 AM-5PM (0900-1700) New York time, Monday-Friday Fax: There are two ways to fax your order: 1. Print out this form, fill it out including credit card information, and fax it to: 212-877-2792  24 hours, 7 days a week. 2. Fill it out and fax it through your computer to the number above. Or MAIL your completed form to: Bel Canto Society, Inc. Department A 85 Furniture Drive, Milford, CT 06460 U.S.A. ____My check or money order is enclosed (Payment must accompany order.         Checks must be in US dollars.) ____Charge to Master Card, Visa, American Express, Discover, or Diners Club. Credit card payments must be in U.S. dollars. If you order a total of five videos, DVDs, CD sets, photos, posters or books, you may select a sixth item of your choice for free from a Bonus List of over 200 titles!

PLEASE PRINT if handwriting information

Catalog number *	Title	NTSC VHS		PAL VHS	Qty	Price
	FREE CATALOG ONLY (a free catalog comes with each order)					Free

*(Catalog numbers are the bold-face numbers shown in listings, e.g. #666)

**Video format information
We'll send the correct format if you'll tell us the country where the tapes will be played

ORDER INFORMATION

We must have all information to process your order.

Ground shipping within the U.S. and Canada is $6.50 per order.  Posters, photos, and books have different rates. Click for shipping information and rates, both domestic and international.  

Your Billing Address: (As it appears on your credit card) Name: Address: City: State / Zip: ---- Province/ Postal Code: Country: Your Shipping Address: (if different from billing address) Name: Address: City: State / Zip: ---- Province/ Postal Code: Country:

Billing Information Ship via (Customers Outside the U.S. Only)   Air Surface  Telephone number (with area code)  e-mail address  Visa Number  or MasterCard Number  Expiration date Merchandise total Shipping within the U.S. and Canada: $4.95, except books and posters. Click for rates for books, posters and international shipping. Order Total

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