Order Form

GATV Resources Order Form

Please use this form to order resources from .
Your patronage and support is appreciated. Red Items are required.

STEP 1: SELECT ITEMS TO ORDER
Qty
	Video Tape, $14.95 EACH "What Government Access TV Brings To Your Community" Run Time: 00:03:40 Professionally produced as an advocacy video to show mayors, council members, and other elected officials the benefits of creating and supporting a government access channel. Includes interviews with operators of award-winning government and educational access channels. Produced with a grant from private industry. Tape may be broadcast in its entirety over television. Tape may not be streamed over the Internet or otherwise duplicated.

STEP 2: SHIPPING ADDRESS

E-mail:

Full Name:

Title:

Company/Org:

Address:

Address:

City:

State:

Postal Code:

Country:

Phone:

Fax:

STEP 3: PAYMENT METHOD

This order form accepts Visa and MasterCard. If you do not have one of these credit cards, or if you prefer not to purchase online, please print out this form and fax or mail it with payment, to:

Mail To:
GATV Institute
P. O. Box 18009
Salt Lake City, UT 84118 Fax To:
(801) 382-1110
Fax registration must be paid by credit card.

Method

Card Number:

Expiration:   / (MM/YY)

Name on card:

Company:

Click Submit Order
Or, print and fax this form to
(801) 382-1110

Thank You!

Revised: 04/10/2001

STEP 2: SHIPPING ADDRESS
E-mail:
Full Name:
Title:
Company/Org:
Address:
Address:
City:
State:
Postal Code:
Country:
Phone:
Fax: