VIDEO LIBRARY ON-LINE ORDERING FORM

IF USING REGULAR MAIL Address All Orders and Inquires to:

   ATTN: Video Library
   National Safety Council, California Chapter
   4553 Glencoe Avenue, Suite 150
   Marina del Rey, CA 90292

Item no.	Title	Purchase	Rental	Date of Planned Use

Please allow a week between order date and date of planned use. Requests for date of planned use shorter than 7 days from order date may result in higher shipping and handling charges.

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