Billing Info:

Name:
Address:
City:
State:
ZIP:
Day Phone:
Night phone:
Email:

Important: we can't ship without the billing name, address, and phone number.

Item Number	Description / Model Number	Number of units
Item#		Unit(s)
Item#		Unit(s)
Item#		Unit(s)
Item#		Unit(s)
Item#		Unit(s)
shipping rates in the continental U.S. insurance is covered up till $600.00, please add $0.40 per $100.00 after that. camera outfits and accessories: ups ground........$12.50 ups 3 day.........$19.50 ups 2 day.........$25.00 ups overnight.....$39.00 camcorder outfits: ups ground.......$27.00 ups 3 day........$38.00 ups 2 day........$47.00 ups overnight....$59.00 for international rates please contact us.
Total Cost:

If ship-to address is other than the billing address:

Comments:

Type of Credit Card: Visa MasterCard Discover American Express
Card Number:
Expiration Month: January February March April May June July August September October November December
Expiration Year: 1996 1997 1998 1999 2000