MAIL ORDER FORM
Shipping Address:
Name:
Address:
City/ State/ Zip
Country
Tel/ e-mail
Item	Title	Qty	Unit Price	Total
	Sub-Total
	Shipping Cost (see table below to calculate)
	Total
Payments can be made by Check or Money Order and must be drawn on a USA Bank.
	Make Checks payble to:  Mediaseva
	Mail this form with payment to:
	Mediaseva Distribution Center
	20 VINE STREET
	PETERBOROUGH, NH  03458, USA
Ordering Books: Check the Weight of each Book before Calculating the Shipping. 1 DVD=0.1 lbs