Order form for FAMILY and INDIVIDUAL use only.
To order
Takes on Shakes
for schools, organizations, or other institutional purposes please
click here
.
To bring this exciting new educational tool to your home, we're offering a
suggested sliding scale fee for individual and family use only: $10 to $35 per title, for 2-weeks of on-demand access. If you're able to pay more, we welcome your support!
Which "Takes" video would you like?
Amount
$
Select your "Takes" video:
Romeo & Juliet
($10 - $35)
A Midsummer Night's Dream
($10 - $35)
Both
R&J
and
Midsummer
($20 - $70)
Contact Information
First Name
Last Name
Phone
Email
School/Organization Name
Address
City
State
ZIP/Postal Code
Payment information
Select your form of payment
Please select...
Credit Card
Purchase Order
Check
Form_of_Payment
Paying by check
I understand that videos and curriculum will not be delivered until payment is received.
Purchase Order #
Credit Card info
Name on Card
Card Number
MM
YY
Code
Credit Card Billing Email
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