PLEIS-NB • Public Legal Education and Information Service of New Brunswick

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Video Purchase Form

PLEIS-NB produces a number of videos which are available for purchase. Please see Videos for product descriptions and other materials.

How to Order:

Please submit the following form or download the PDF version of the video purchase form and mail, fax or e-mail your request indicating the desired title(s) and correct delivery information for your organization. The videos will be sent along with an invoice. Payment can be made by cheque or money order.

Public Legal Education and Information Service of New Brunswick
PO Box 6000, Fredericton, NB, E3B 5H1
Tel: (506) 453-5369
Fax: (506) 462-5193
E-mail: pleisnb@web.ca

Order:

** Required Fields **

Date:
Organization Name:
* Contact Name:
* Address:
* Telephone Number:

Please check the boxes to indicate which titles you would like to order, as well the quantity of each video that you would like to receive. We do not charge tax*

	TITLE:	QTY	UNIT PRICE*

	You Are Not Alone (includes French) - DVD		$10
	Welcome Aboard - DVD		$0
	A Chance for Change (includes French) - VHS		$40
	Chasing Away Rain Clouds - VHS		$10
	Divorce and Separation - VHS		$10
	Changing the Ending - VHS		$35
	Anything Can Happen - VHS		$35
	Keys - VHS		$35

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