This page allows data entry for your convenience only. The page will NOT transmit any information to us but can be filled out, printed and mailed, along with either credit card #, check or PO, to:

DMZ
129 West 27th Street, Fourth Floor
New York, NY 10001

Ship to address:
Bill to address (if different):
Name
Street
City
State/Province
Country
ZIP or Postal Code
Phone
FAX
email
Name
Street
City
State/Province
Country
ZIP or Postal Code
Phone
FAX
email
We accept Amex Mastercard Visa Discover
Credit card # (if applicable) Expiration Date
Quantity of
The Literature of Science Fiction Film Series
individual @ $49.95 institutional @ $249.95
Quantity of
John W. Campbell’s Golden Age of Science Fiction
individual @ $29.95 institutional @ $129.95
Please calculate charges based on separate shipping of each program. (Please contact Polina @ (212) 255-8181 about quantity shipping) Domestic @ $5.00 each Foreign @ $11.00 each $
Sales Tax (NYS Residents, 8.25%) $
TOTAL (Sorry, you must add and enter total manually) $
Thank you for your order.

We recognize that this is not the most elegant approach to placing an order. Please bear with as we are at work creating a more web-savvy automated form.

© 2001 Digital Media Zone