MP3 & Daisy Files Request Form
Name of Qualified Recipient
Address (line 1)
Address (line 2)
City, State & Zip/Postal Code
Country (if not USA)
Audio Version or Language
English - King James Version
English - New King James Version
English - International Children's Version
German - full Bible
French - full Bible
Haitian Creole NT
Hebrew - full Bible
Mandarin Chinese - full Bible
Spanish RV 2000 NT
Russian - full Bible
Format & Media
MP3 FILES ON CD-ROM
MP3 FILES ON DVD-ROM
DAISY FILES ON DVD-ROM
Requesting Individual Information
Name of Requesting Individual
Title (if you are a Certifying Professional)
Organization (if you are a Certifying Professional)
Certification of Impairment Documents (if you are not a certified professional, you will need to provide proof of impairment)
I'm not a professional. Please email documents to
I"m a professional, as listed above. You do not need to send documents.
Send me a copy of my responses.
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