MEDIA ORDER FORM
Compact Disc $9 DVD $15
(Note: VHS available by request only.)
Today’s Date: _________________________________
Billing Address:
Name: ______________________________________________________
Street Address: _____________________________________________
City: ____________ State: ______ Zip Code: ___________
Home #: ____________ Cell #: ___________ Email: _____________
Comments: __________________________________________________
Shipping Address: (If different from Billing Address)
Name: ______________________________________________________
Street Address: _____________________________________________
City: ____________ State: ______ Zip Code: ___________
Home #: ____________ Cell #: ___________ Email: _____________
Comments: _________________________________________________
Please List Clearly: If you need more space please write on the back of this form:
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Mail Your Order To: Making It Plain
P.O. Box 40072 • Memphis, TN 38174
Telephone (901) 346-5544 • Fax (901) 346-3355