The Roland Collection
Order Form

On-line credit card purchases of films in the Roland Collection can be made from this site. However, of you wish to send your order by post please print out and complete this page.

	Bill to		Ship to
organization		organization
department		department
address		address
city		city
area/code		area/code
country		country
telephone		telephone
fax		fax
date		date
purchase order number		for the attention of
for the attention of

catalog number	title	rental dates required (USA only)	Quantity required		price per title	total
catalog number	title	rental dates required (USA only)	16mm film	VHS video	price per title	total









VAT UK clients should add VAT. Rest of Europe: add Value Added Tax at current UK rate unless you are VAT registered and inform us of your number. Check Can your choice be supplied to your country?				Subtotal
				shipping and handling
				total
				VAT if applicable
				grand total

Shipping and handling
USA		Worldwide
Film sale @ $11	Video rental @ $11	Film sale: courier charge	Video preview @ $7
Film rental @ $16	Video preview @ $7	Video sale @ $7	Books @ $7
Video sale @ $7	Books @ $7	8 or more @ $3.50	Resource guide @ $8
8 or more @ $3.50	Resource guide @ $8

payment by	Access O Visa O Mastercard O American Express O
credit card number	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ expiry date __ / ____
cardholder's name	_________________________________________
cardholder's signature	_________________________________________

Please send your order to :

The Roland Collection
England	USA
Peasmarsh East Sussex TN31 6XJ Telephone 01797 230 421 Intl +44 1797 230 421 Fax 01797 230 677 +44 1797 230 677	22-D Hollywood Avenue Ho-Ho-Kus New Jersey 07423 Telephone 201 251 8200 Fax 201 251 8788