If you're unsuccessful filling out the following electronic form, please download, print, and complete the Video Request Form in pdf format and fax it to 818-354-9068 or mail to Space Place Videos, JPL, MS 301-235, 4800 Oak Grove Drive, Pasadena CA 91109. |
| Requests will be processed in approximately 48 hrs and you will be informed if your tape is currently checked out by another member. |
| |
| *** Please Note *** |
| Videos are for educational use only and are not to be copied or sold. |
| All videos are only available in VHS format. |
| Only one tape may be checked out at a time. |
| You must be 18 years or older to use this service. |
|
| |
| Your Information |
| |
| First Name: |
|
| Last Name: |
|
| Address Line 1: |
|
| Address Line 2: |
|
| City: |
|
| State: |
|
| Zip: |
- |
| Email Address: |
|
| Phone Number: |
- -
|
| |
| Usage Information |
| |
| Astronomy Club: |
|
| Intended date of use: |
-
-
|
| NOTE: Because of limited supplies and staff, we cannot send out tapes more than three weeks in advance of your screening or with less than a three week notice. This three week "window" helps us to ensure that you have the tape when you need it without having to pay additional costs for mailing. |
| |
| Video Tape Choices |
| |
Please select two different tapes. If your first choice is not available, we will do our best to satisfy your second choice. |
| |
If neither tape is available, you may get on a waiting list. |
|
|
|
| |
|
|
| |
| I have read and accept the Terms and Conditions. |
| |
| |
| |
Home - Video Request Form - Video Request Form (PDF) - Video List - FAQ Terms & Conditions - Privacy Policy |