Order Form

Please post me a DVD copy of

The
Hollow Men

Name ..............................................................................
Address ..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
Signature ..............................................................................
Date ..............................................................................

Please find a cheque enclosed.
Please bill me.

Price (includes GST, packaging and post)
Individuals $30
Institutions $110

Post or fax to:
Community Media Trust
PO Box 3563
Wellington
Fax: 04 4725259
Email: communitymedia@paradise.net.nz

Or just email us at communitymedia@paradise.net.nz including your mailing address and will post you a DVD with an invoice.