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 Cox3 Show Copies
For copies of the program please send a check and completed request form made out to Cox Communications to:

$25 each VHS copy
$40 each DVD copy

Please include a mailing address and indicate which show you want to order. Please allow 4-6 weeks for delivery.

Click to Print this Form
*First Name:

  *Last Name:  
   Company Name:  
  *Street Address:  
   Apartment Number:  
  *City:  
  *State:  
  *Zip Code:  
  *Phone: - -  
  *Email:  
  *VHS or DVD:  
  *Channel:  
  *Show:  
  *Episode details:  
  *Quantity:  
   
I have requested a video copy in either a VHS or DVD format of the aforementioned program(s). I understand that I may use this video copy for my private viewing only. I attest that I will not or not allow any copies to be made of the purchased video copy in part or whole for any purpose. I understand that only Cox Communications and/or any Local Franchise Authority or Other Authorized Authority in the Palos Verdes/San Pedro Cox Communications service area may grant authorization for such use.
 
  *Electronic Signature: (Full Name needed for approval)

 
   

 *denotes required field

If mailing:
Cox3
Attn: Peter Michel
43 Peninsula Center
Rolling Hills Estates, CA 90274

Request Forms:
Cox3
PVP-35
SPTV-33 – Community Bulletin Announcement Form

Any questions call 310-265-5885

 

 

last updated: 05/09/08
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