Fillable REAGAN LIBRARY VIDEO/AUDIO ORDER REQUEST FORM VIDEOTAPE/AUDIOTAPE NUMBER, (Policy and Planning)

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REAGAN LIBRARY VIDEO/AUDIO ORDER REQUEST FORM VIDEOTAPE/AUDIOTAPE NUMBER, (Policy and Planning)

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REAGAN LIBRARY VIDEO/AUDIO ORDER REQUEST FORM
VIDEOTAPE/AUDIOTAPE NUMBER, DATE & SUBJECT
1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
4. ____________________________________________________________________________
5. ____________________________________________________________________________
6. ____________________________________________________________________________
Please check the appropriate information below: (For DVD orders - 3 selections per order)
VIDEO FORMATS: DIGITAL VIDEO FILE (Please specify MP4, Quicktime, etc.) _____
DVD-R_____
AUDIO FORMATS: WAV_____ MP3_____CDR_____
..........................................................................................................................................................
Please make your check or money order payable to the National Archives Trust Fund or include your VISA,
MasterCard, American Express, Discover card number and expiration date. All prices include first class shipping for
U.S. orders only. Expedited shipping via UPS Next/2
nd
Day air is $30.00 or actual cost whichever is greater. Please
print and fax completed order form to (805-577-4080) or email to steve.branch@nara.gov
or send
with payment to: AV Reproductions
Ronald Reagan Presidential Library
40 Presidential Drive
Simi Valley, CA 93065
Name: ________________________________________________________________________
Address: _______________________________________________________________________
City: ______________________________ State/Country:___________ Zip Code:_____________
Phone: ______________________________ Amount Enclosed/Total: $ _________________________
VISA _____ Mastercard ______ American Express ______Discover ______Check______
Credit Card # ___________________________________________Expiration Date_________________
Security Code_________________ UPS#___________________________________________________
Signature as it appears on card____________________________________________________________
E-mail ________________________________________________________________________
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REAGAN LIBRARY VIDEOAUDIO ORDER REQUEST FORM VIDEOTAPEAUDIOTAPE NUMBER, (Policy and Planning)

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Completed 19 July 2020

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