Order Form

To order this film, please complete the order form and send with a cheque payable to "Balthazar Films" :

Your name and address : ................................................ ................................................ ................................................ Balthazar Films 25, rue principale 67690 HATTEN (France) T : +33 (0)3 88 80 06 11 F : +33 (0)3 88 80 17 10 contact@balthazar-films.fr

Title Quantity Unit price Total price    Dan Steffan   20   Postage     Total (in €)

Postage :   France Europe   1 cassette 3,25 € 6 €   2 - 3 cassettes 5,70 € 8 €   4 - 5 cassettes 6,70 € 11 €

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