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16MM Film Rental Application Form
 for Organizations Not Affiliated with the NRHS

Organization Information

 Name:
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
Daytime Telephone:

Your Information

Your Name:
Your Title:
Your Daytime Telephone:
Your e-mail Address:
Shipping Information
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:

Please mail your order to:
National Railway Historical Society
P.O. Box 58547
Philadelphia, PA 19102-8547

Make your check or money order payable to:
National Railway Historical Society
Instructions:
  1. A maximum of three 16mm films may be rented by an organization at one time.
  2. Rental applications should be mailed at least one month in advance of the date you wish to have the film.
  3. Please list alternate titles in the event the titles you wish to have are not available on the date you requested. LIST TITLE IN THE ORDER IN WHICH YOU DESIRE THEM.
  4. Please return films immediately following their showing, so others may have the opportunity to use them.
  5. The Rental Fee for each film is shown beside the film.  
  6. The shipping charge is $6.00 for the first film.  For each additional film and for films over 30 minutes in length, add $2.00 per reel. For international orders, you must contact us before ordering to determine the shipping charge.
  7. You must include full payment with your application.  Make your check or money order payable to National Railway Historical Society.  All fees are in U.S. Dollars.
  8. When you return the film, please insure each package.
  9. If you need further assistance in booking a program, please contact the National Office at 215-557-6606 (fax 215-557-6740) between 9:00 AM and 4:00 PM Eastern Time weekdays or send an e-mail to services@nrhs.com.
Warning: These films may not be reproduced.
Film
Number		 Title Rental
Fee		 Date
Desired
(mm/dd/yyyy)		 Shipping
Fee
1. ______ ___________________________ $ _______ ________ $ _______
2. ______ ___________________________ $ _______ ________ $ _______
3. ______ ___________________________ $ _______ ________ $ _______
Subtotals: $ _______ $ _______
Total: (Rental Fees + Shipping Fees)

$ ______________
Alternate Selections
1. ______ ___________________________ $ _______ ________ $ _______ 
2. ______ ___________________________ $ _______ ________ $ _______

 

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