Shipping and Billing Information

Name of library or institution*

Actual Physical Street Address*

Mailing Address (If Different)

Billing Address (If Different)

Contact Information

AV Contact Person*

Phone*

Fax*

Email*

Billing Contact Person*

Billing Phone*

Billing Fax*

Billing Email*

Payment Process

What is the turn-around time for payment?*

Who will the payment be from?*

Order Process

Orders will be submitted via* -Select One- Website Email Fax

Do you require POs with every order?*

Yes No

Number of days items on backorder* -Select One- 30 Days 60 Days 90 Days

Invoices to be sent with*

Product Separately

Number of invoices required* -Select One- Single Duplicate Triplicate  

Do you require complete fills before an order is shipped?*

Yes No

What is your preferred shipping method?* -Select One- UPS FedEx DHL USPS

Do you require confirmation before shipping?*

Yes No

What is your typical order cycle?* -Select One- Daily Weekly Monthly Quarterly

Collection Information

What types of products are you interested in adding to your collection?* -----Select One----- Everything CDs & DVDs Import CDs Hard-To-Find CDs Theatrical DVDs Docmentary DVDs Educational DVDs

How often would you like to be informed of new releases?* -----Select One----- Daily Weekly Monthly Quarterly