Order Form

If you would rather not order online, Please print and complete information below. Mail orders paid with an enclosed check get free shipping for the extra trouble. Thank you!

Please list desired titles and format (paper sleeve or regular DVD case):


Item 1 ___________________________________

Item 2___________________________________

Item 3___________________________________

Item 4___________________________________

 

Discount Code (if available) _______________

We will ship to this address:

Name:
Address:
Address2:
City:
State:
Zip:
Country:
Phone or email (for confirmation or in case of problems):

Enclose a check payable to Performance Video. Send to Performance Video, 550 Riverbend St, Durango, CO 81301