| Your Name: |
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| Company: | |
| Your Address |
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Ship to Address (if different): |
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| Phone: | |
| Fax: | |
| Email: | |
14th Annual Thea Award DVD ($20 each): |
Qty: Subtotal: |
13th Annual Thea Award DVD ($20 each): |
Qty: Subtotal: |
12th Annual Thea Award DVD ($20 each): |
Qty: Subtotal: |
| Subtotal: | $ |
Check if California state residents (9.25% tax will be added) | $ |
| Grand Total: | $ |
Payment by Credit Card, After Completing this form, you will be directed to the Paypal Web Site to complete the payment process.
Note: You do not need a PayPal account to pay with a Credit Card
You may contact TEA to process your credit card off-line.
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