UCSB-TV Video Order Form
Print This Page • Fill Out • Mail In
All UCSB-TV programs have been professionally produced for UCTV. DVDs cost $19.95 each. Tax for California residents onlyis $1.60 on $19.95. To obtain correct tax, multiply Subtotal by .08 (i.e.,8.0%). Shipping 1 or 2 DVDs = $4.50.
[With Quantity, please indicate
, such as 1-DVD, or 2-DVD. Thank you.]
Address Line 1: ___________________________________________________
Address Line 2: ___________________________________________________
City, State, Zip: ___________________________________________________
• Please pay by credit card or by check payable to "
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: __________________________
University of California
Santa Barbara, CA 93106-3200
Tel: (805) 893-4345
Fax: (805) 893-8719
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.