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Interview/Steamboat Era Stories Order Form

Copies of the videotaped Interviews and or edited Steamboat Stories can be obtained either on DVD or VHS format.

After printing out this order form, fill it in, sign it, and mail it along with your check or money order. If you wish to pay by credit card we take Visa, Mastercard, and Discover. Please call us to complete your credit card transaction. Please allow 3 - 4 weeks for delivery of your order.

Steamboat Era Museum

156 King Carter Drive; PO Box 132

Irvington, Virginia 22480

Telephone: (804) 438-6888

Name:__________________________________________________________

Organization:_____________________________________________________

Street Address/PO Box_____________________________________________

City:____________________________State:_________Zip:________________

Phone: ____________________

Interviews

Individual copies of interviews or edited steamoboat stories can be ordered on either VHS or DVD. The cost per interview of

a VHS or DVD is $30.00 plus $7.00 for shipping and handling. In ordering a specific interview

be sure to provide the name of the person being interviewed and the tape number. This information can

be found on the individuals log sheet. In ordering a steamboat story just provide the title of the program.

Make checks out to The Steamboat Era Museum

Please list below the tape(s) you would like to order:

Tape Name
Tape Number

If space is needed for additional tapes just use the space at the bottom of the order form or a separate sheet with the above information on it.

Please specify format you want (check one)

_____VHS _____DVD

Please describe how you intend to use the footage (i.e., research for a book, incorporate into another video or multi-media presentation, etc.)

________________________________________________________________________________

Conditions of Usage: All material is copyrighted by the Steamboat Era Museum and any usage of the footage that results in compensation to the user is not permitted without prior written permission from the Steamboat Era Museum. If our footage is intended for incorporation into another multimedia program that will be for sale please contact us at (804) 438-6888 to discuss particulars. Our material may be used in multimedia presentations if there is no admissions fee for viewing or money received for the product. If our materials are used as such, the Steamboat Era Museum requests credit at the end of the program in which the material is used.

I have read and understand the conditions of usage for the material I am requesting:

Date:_______________

Singnature:______________________________________________________

Print Name: _____________________________________________________

Organization:_____________________________________________________

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