UCSB-TV Video Order Form

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All UCSB-TV programs have been professionally produced for UCTV. DVDs cost $19.95 each. Tax— for California residents only—is $1.60 on $19.95. To obtain correct tax, multiply Subtotal by .08 (i.e.,8.0%). Shipping 1 or 2 DVDs = $4.50.

Title Catalog No. Qty Cost Total
         
         
         
         
[With Quantity, please indicate DVD, such as 1-DVD, or 2-DVD. Thank you.]  Subtotal  ___________
   Calif. Tax  ___________
   Shipping  ___________
   Total Cost:  $__________
Ship to: Name: __________________________________________________________

Address Line 1: ___________________________________________________

Address Line 2: ___________________________________________________

City, State, Zip: ___________________________________________________

Phone Number: (                ) _____________ — _________________________

E-mail: __________________________________________________________

• Please pay by credit card or by check payable to "UC Regents" •

CREDIT CARD INFO [VISA & Master Card ONLY]: MAIL ORDER AND PAYMENT TO:
 
  Credit Card Type: ___________________ (VISA/MC Only)

  Account Number: __________________________________

  3-digit ID #_________________*

  Expiration Date: __________________________

  Signature: _______________________________
   Video Services
   UCTV
   University of California
   Santa Barbara, CA 93106-3200
   Tel: (805) 893-4345
   Fax: (805) 893-8719
   E-mail: jeff.liang@id.ucsb.edu
 
*On all orders to be charged to a credit card, give also the 3-digit ID# from the back of the card. This number is printed in the white signature panel on the back of your card. It follows the credit card number on a VISA card. Only the last 4 digits of the credit card are printed on a Mastercard, but they are followed by the ID#.  Thank you.