Order videos from Visual Learning Company in the following ways:

•  Email: Complete the form below. Once submitted, your order will be placed instantly.
       Payment option: purchase order number

•  Fax: Print an order form and fax to VLC at 802-247-6951.
       Payment option: purchase order number or credit card

•  Shopping Cart: Order videos with our secure online shopping cart.
      Payment option: credit card

Complete the MARC Records Profile Sheet.

Contact:
Name
Title
School
Address
City
State	Zip Code
Phone	Ext.
Fax
E-mail

Ship To: (Leave blank if info is the same as above)
Name
Organization
Address
City
State	Zip Code

Bill To:
Name
Title
Organization
Address
City
State	Zip Code
Phone	Ext.

Purchase Order:
P.O. Number

Order:

Qty.	Title	Price	Format	Total
Federal Tax ID number 03-0362850			Shipping add 7%
			Total

Copyright © 2006 Visual Learning Company.
25 Union Street, Brandon, VT 05733
800-453-8481 or 802-247-3214 Fax: 802-247-6951
info@visuallearningco.com