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Video Request Form

We ship via UPS. Expect the videos in 3-4 working days. If the video is not available, we will call you.

Items in bold are required.

Name of Video 1:
Number of Video 1:
Name of Video 2:
Number of Video 2:
Company (do not abbreviate):
Contact Name:
Physical Address (no P.O. boxes):
Street Address:
City/Town:
State:	(we can only ship videos within Maine)
Zip:
Phone Number:
Email Address:

Please Note: We cannot ship videotapes outside of Maine! If information is missing on this form, or a PO Box is given, it may delay shipping.

If you cannot submit your request electronically, fax it to (207) 623-7937 or call (207) 623-7900. You can also mail your request to 45 State House Station, Augusta, Maine 04333.

Maine.gov

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Video Request Form