Central Baptist Church- Media Ministry-DVD/CD Request Form

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If you would like a Audio CD Recording from a recent memorial service, please fill out the request form below.

*(CDs and DVDs for family members are complimentary.)

*(For friends of the family- Audio CDs are $4 and DVDs of a slideshow or video recording from the service are $6. These costs cover the production of the CD or DVD itself. All proceeds made from CD/DVD Requests go right back into the Media Ministry budget.)

*(If you select multiple options, we will notify you when your order is ready and let you know your "Total Cost" at which time needs to be paid when you pickup your order.)

Name: *

(First and Last)

Phone Number: *

(386)-123-4567

Email Address: *

Which Memorial Service would like a Audio CD of? *

(You can choose multiple.)

Bob Chutjian

Jim Cummins

Les Burdette

Carole Tarpley

Bill Rippey Sr.

Dian Bennett

Ed Sanders

Bob Miranda

Betty Green

Bo Manville

Required

Would you like a Photo DVD Slideshow that was played at the memorial service?

Jim Cummins

Bill Rippey Sr.

Would you like a DVD Recording of the memorial service?

Les Burdette

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