Your Name:

Contact Information: (where can we reach you between 9:00am and 6:00pm)
Phone #
Email:

Name of Program you would like to order:
Brief Description of Program/Comments: (If you do not know the exact title)
How many copies would you like to order?
What format would you like your video made in? (check both boxes for one of each)
DVD - $15.00
VHS - Video Tape - $12.00
Would you like to request Shipping (+$1.50)? (Read payment options bellow)
If requesting shipment include mailing address in the Description box above
This button will redirect you to your default email software. Type "Program Order Form" in the subject line and send email.
( Duplications may take 1-3 weeks to process you will be notified by phone when duplications are ready for pick up)
PAYMENT OPTIONS:
Sorry we do not accept online payments at this time. Your order will need to be picked up from SAPA TV.
To request shipment add $1.50 to your total and include your mailing address in the "Brief Description of Program/Comments" Box above. Duplications will not be shipped before payment has been received (checks or cash accepted). Please make Checks payable to: "SAPA TV" and mail them to:
Springfield Area Public Access Television
303 South Street Springfield, Vermont 05156
CLOSE THIS WINDOW AFTER SUBMITING AND SENDING YOUR ORDER FORM
Please read form carefully. Information on this form is for our use only, and will not be distributed.