Relah's
Video Order Form

Please print and fill out this form, and enclose a check or money order
in U.S. funds, payable to Relah Eckstein. Prices include shipping and handling.
Please allow 4 weeks for delivery.

 

Video
Price
Copies
Total
Lucy's Dream
12 mins. - VHS NTSC
$15
   
Oat - Meal
8 mins. - VHS NTSC
$15
   
8 Relah Films
(Lucy's Dream, Oatmeal, The Room,
Eye Creature, Eggy Time, Light Mail,
Mr. Bubblehead and Ant Farm)
40 mins. - VHS NTSC
$20
   
Grand Total:
  


Your Name:
  
Street:
  
City:
  
State:
  
Country:
  
Zip Code:
  

Mail to:

RELAH ECKSTEIN
P.O. Box 18123
Encino, CA 91416
U.S.A.

Thank you!