 |
|
|
|
Breathe Life NOW Order Form
Breathe Life NOW is an evergreen public service announcement that you can use at any time of the year. It promotes the American Lung Association with a positive message about breathing, and features people of diverse backgrounds and ages.
This PSA is available in a 30-second version and a 60-second version.
All tapes ordered will contain both versions.
Lightning Dubbs is handling all of the orders for the Breathe Life NOW PSA. They will bill each individual ALA directly. Please follow the step-by-step instructions and fill out the form below.
Deadline for Ordering: October 15, 2001.
|
| Step One General Information |
| *Contact Name: |
|
| *Title: |
|
| *Lung Association Name: |
|
| *Address: |
|
| *City:: |
|
| *State: |
|
| *Zip Code: |
|
| *Phone:: |
|
| Fax: |
|
| *E-mail: |
|
| Step Two Local I.D. Information |
|
You must order a local I.D. if you intend to distribute the PSA to your market. If you only wish to order screening copies for your own use, the I.D. information will be for the ALA of Los Angeles County.
Local I.D.s = $65 per I.D.
|
| Local I.D.: |
|
|
Example: American Lung Association of Los Angeles County
|
| Local Phone Number: |
|
|
If you do not wish your local phone number, is 1-800-LUNG-USA okay?
|
|
Yes No
|
| Local Website Address, if any: |
|
| If you do not have a local website address, is www.lungusa.org okay? |
|
Yes No
|
|
Step Three Ordering & Costs
|
| Rates include new stock, duplication, cases, labels and handling. All work is 100% guaranteed. |
|
¾ Video
1 copy = $18.70
2-4 copies = $15.30 each
5-19 copies = $13.60 each
20-49 copies = $11.90 each
50-99 copies = $10.20 each
100-199 copies = $8.50 each
# of ¾ Videos:
1-inch Video
1 copy = $25.20
2 + copies = $20.70 each
# of 1-inch Videos:
|
Beta SP Video
1 copy = $38.00
2 + copies = $33.25 each
* For Non SP deduct $5 per tape
# of Beta SP Videos:
VHS Video
1 copy = $13.60 each
2-4 copies = $10.20 each
5-19 copies = $7.65 each
20-49 copies = $5.10 each
50-99 copies = $3.83 each
100-199 copies = $2.98 each
200 + copies = $2.55 each
# of VHS Videos:
|
|
| Step Four How To Pay |
|
You may charge payment to a credit card or open an account with Lightning Dubbs. Please choose:
Credit Card Payment
Open An Account
The forms Lightning Dubbs requires will be e-mailed to you, based on the choice youve made.
|
| Step Five Shipping Information |
|
Lightning Dubbs will ship your order directly to you, to the address you gave above. Please specify your shipping preference:
FedEx Account Number:
UPS Account Number:
Airborne Express Account Number:
|
|
To complete your order, press SEND. You will receive an e-mail confirmation within 24 hours. Thank you for ordering.
|
| |
|
Problems? Helpful E-mails
Andrea Van Hook
ALA of Los Angeles County
Seth Hallen
Lightning Dubbs
|