| California Films 1100 Irvine Blvd. #565 Tustin, California 92780 Please print this form and enclose with order California Films will not violate International Copyright Laws by copying commercially distributed video tapes |
| Name or description of video tapes or DVD's ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ Print Your Name and Mailing Address Name _______________________________________________ Address _____________________________________________ _____________________________________________ City_________________________________________________ State____________________ZIP _________________________ Date____________________Signature_____________________ E-Mail___________________Phone _______________________ Credit Card Information Credit Card statement will show charge to- CALIFORNIAF PayPal Signature_____________________________________________ Card Number __________________________________________ EXP. Date__________________ Security Code*______________ *(Three numbers on back of Visa/MC or four numbers on front of AMEX ) ©CFS 1996 - 2007 |
 |
 |
 |
 |
 |
 |
| Please enter Credit Card billing address if it is different than shipping address. Name on card: __________________________________________________ Billing address:__________________________________________________ City:_______________________________State:______ZIP:______________ |