Purchase DVDs Form
Name
First & Last
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Email Address
Your answer
Phone Number
Your answer
Program Name
Choose program from list
Program Description
If choosen "Other" please describe show not listed above
Your answer
Program Date
List date of when program was filmed.
MM
/
DD
/
YYYY
Number of Copies
Each copy is $5.00
Delivery of Program
Payment Type
If selected "Paypal," please use form below. Please make sure you use the same name listed on this form so we can match payment to information.
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