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:

Date:

Sermon Title/Series:

Quantity:

Media Type:
( CD, Video, DVD)

Total:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Shipping & Handling:

included

Total Amount:

 

Mail Your Order To:  Making It Plain
P.O. Box 40072 • Memphis, TN  38174

Telephone (901) 346-5544 • Fax (901) 346-3355

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MAKING IT PLAIN MINISTRIES -- P.O. BOX 40072 | MEMPHIS, TN 38174 | 901-346-5544
COPYRIGHT 2010, MAKING IT PLAIN MINISTRIES