Clinical Video Rental Agreement
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Rental Agreement
To keep rental and purchase prices as reasonable as possible, it is the Family Center’s policy not to permit previewing, since each use of the video shortens its life. However, if you are planning to purchase a video, you may pay the rental fee to preview it.
Please order at least three weeks prior to the desired showing date.
This rental agreement must be signed and returned to the Bowen Center before videos will be released. Please fax to (202) 965-1765.
- Clinical videos will be shown only to professional audiences and the confidentiality of the families on the tapes will be protected
- Videos will not be reproduced in any manner (including sound track reproduction). The Family Center tapes are copyrighted. Any reproduction of material in them is a violation of copyright law.
- Videos will be played on machines in good working condition so they will not be damaged.
- Videos will be used for one showing only, and will be returned promptly after use, insured for $200.
| Bill to: |
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| Name: ______________________________________________________ |
| Organization: _________________________________________________ |
| Address: _____________________________________________________ |
| City: __________________________ State: _____ |
| Zip Code: ________________ Country: _________________ |
| Daytime Phone: ______________________________ |
| E-mail: _____________________________________ |
______ I agree to the above rental terms.
Signature: _____________________________
Date: _______________
If you have questions about your order, please contact
Kathy Vlahos at 202-965-4400 x 23 or kvlahos@thebowencenter.org
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