R L BURRILL ASSOCIATES

ORDER FORM

Print this form and mail it with your order. Prices are subject to change. This introductory offer is good only through the year 2007.

For University / Educational Sales a written confirmation is required with purchase order. A licensing agreement is required before orders are completed.

Individual Sales require a money order. (Credit Cards are not accepted at this time.)

R L BURRILL ASSOCIATES
817 Calero Street
MILPITAS, CA 95035

qty.	Title	Edu. Sales Price	Individual Price	Total
	Illuminations: Ruth Bernhard, Photographer (58min)	$250.00	$50.50
	The Contemporary Photographers: A series of four vignettes (58min)	$250.00	$50.50
	Films on Kinetic Sculpture: Michael Jean Cooper - Sculptor (25min)	$250.00	$30.00
	The Milpitas Monster: A classic film parody of the Hollywood tradition (58min)	$250.00	$30.00
	Transcriptions/Study Guides ($20 ea.) indicate film from above
	CA residents add applicable Sales Tax (.0825)
	Shipping & Handling			$10.00
			TOTAL :

R L BURRILL ASSOCIATES

817 Calero Street

MILPITAS, CA 95035