Merchandise Order Form - Ansuya.com

To place an order, print and complete this form
and mail with check or money order* to:

Ansuya Productions Inc.
5482 Rattlesnake Hammock Rd. PMB #135
Naples, FL 34112

(*Overseas orders please send international money order in US dollars)

Your Name
Shipping Address
City
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Phone
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Would you like to be added to Ansuya's mailing list?
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Item
Price
Qty
Ext. Price
The Magic of Bellydance! DVD
$35
$
All New Hot Combinations DVD
$35
$
Ansuya, Live at Al Amir DVD
$25
$
American BellyDancer DVD
$25
$
Bellydance Supestars: Live In Paris DVD
$20
$
Finger Cymbals w/ Ansuya DVD
$45
$
Advanced Finger Cymbals DVD
$45
$
Hot Combinations DVD
$45
$
Lavish Layers DVD
$45
$
Luscious Layers DVD
$45
$
Bellydance Superstars DVD
$20
$
On Fire! DVD
$25
$
Belly Dance at it's Best DVD
$25
$
Ahsas CD
$16
$
Bellydance Superstars Vol. 1 CD
$16
$
Bellydance Superstars Vol. 2 CD
$16
$
Bellydance Superstars Vol. 3 CD
$16
$
On Fire! CD
$16
$
Belly Dance at it's Best CD
$16
$
Sub Total
$
Florida residents only add 7% tax
$
Shipping (*see below)
$
TOTAL
$

Shipping:
$0.01
$50.00
$200.00
$400.00
$600.00 		-
-
-
-
-
 $49.99
$199.90
$399.90
$599.90
and up 		$5.00
$10.00
$15.00
$25.00
$30.00