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$25 International "PREVIEW DVD" Order Form
Customers in countries other than the U.S., Canada & Mexico may purchase a ``Preview DVD`` for $25 USD.
The international preview fee is refundable upon your subsequent purchase of any Family Health Media title.
Credit card pre-payment is required. It is not necessary to return the preview DVD to us.

The ``Preview DVD`` contains the full length of each video. A screen title identifies all programs as ``For Preview Only.``
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Important: Enter a valid e-mail address. Receipts will be sent to this address.
*E-Mail:
*Phone
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Shipping Information
*Name:
*Address Line 1:
Address Line 2:
*City:
*State or Province
*Postal Code:
*Country
Your credit card will be charged $25
*Name on card
*Card Number:No dashes or spaces please
*Expiration Month:
*Expiration Year:
*Credit card billing addressWhere your statement is mailed
*City:
*State or Province
*Postal Code:
*Card Brand:
*Card security code
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