STAR DREAMS	DVD Order Form 

Name: 

Address:

City:

Province:

Postal Code:

Phone:
Email:
Date:

                               

ITEM:			DVD $19.95		
.95                     
QUANTITY:		[ 0 ]			
PRICE:			$00.00			
	                          
SUB-TOTAL:			$00.00                                      
Postage & handling:  		$6.00                                                                      
GST (5% Canada): 		$                                                                  
PST (7% BC):			$                                                                  
TOTAL: 				$


Please enclose cheque or money order and allow 2-3 weeks for processing and delivery. 
Or you can safely order with VISA/Mastercard/American Express - plus the expiry date by mail
VISA:
MASTERCARD:
American Express:
Expiry Date:

GENESIS COMMUNICATIONS CORPORATION 
RR#1, Site 5, Comp1A,
70 Mile House, B.C. Canada VOK 2KO
(250) 456-6039