THE ANGELMAN PROJECT VIDEOS/DVD ORDER FORM

These tapes are not intended to prescribe or advise treatments or therapies.
Please consult your physician, medical professional, or therapist for any medical advice.

TO ORDER: Print and then complete this order form. Make a check payable to Tiranoff Productions, LLC for the balance due.

Enclose the order form and check, and mail to:
TIRANOFF PRODUCTIONS, LLC
488 14th Street
Brooklyn, New York 11215 U.S.A.

TITLE of DVD

ASF MEMBER PRICE:

NON- MEMBER *JOIN NOW!

QTY

SUBTOTAL

1. Angelman Syndrome: Making the Diagnosis

$ 28.00 *

$ 32.00 *

   

2. Behavior Modification (Volume 1)

$ 28.00 *

$ 32.00 *

   

3. Behavior Modification (Volume 2)

$28.00 *

$ 32.00 *

   

* PRICES ARE LICENSES FOR PRIVATE ONE-TIME USE ONLY.    Institutional buyers please contact us for pricing.

 

Subtotal:

$
 

Shipping: US/Canada: Add $ 4.50

(For one DVD / $1.00 for each additional DVD)

$

 

Shipping: Outside US/Canada: Add $ 6.50

(For one DVD / $1.50 for each additional DVD)

$

 
TOTAL AMOUNT ENCLOSED:
$
Product Dollar Total + Shipping & Handling (in New York, this is the taxable amount)   

NYS residents only add sales tax:
(see table)

$

 

 
TOTAL AMOUNT NYS
Residents Only

$

NAME:
ADDRESS:
CITY STATE ZIP COUNTRY:
(New York customers, please enter your County)
PHONE:
EMAIL ADDRESS:
* NEW ASF MEMBERS CHECK HERE: _____I am joining ASF & enclosing my membership form and check payable to ASF for you to forward.
  SEE ASF INSTRUCTIONS & FORM ENCLOSED.
For additional information: Louise.Tiranoff@verizon.net (718) 788 6403 telephone, (718) 369-2387 fax.

SHIPPING & HANDLING in
North America
Priority Mail: $ 4.50 add 1.00 for each
additional DVD
Rush: Next day air, actual price +$2.00  
Second day air, actual price +$2.00 

  
SHIPPING & HANDLING outside North America
Asia Europe Africa South America 1 DVD $6.50 / 1.50 for each additional DVD 
   Allow 6-8 weeks for delivery.

A portion of the proceeds from the sales of these videos will go to the continuing development of
The Angelman Project and to the Angelman Syndrome Foundation.