Prince of Peace Baptist Church
Audio / Video Order Form
Personal Information
page 1 of 3
Name
required
Mailing Address
required
City, State, Zip Code
required
E-mail Address
required
Active Phone Number
required
TYPE OF MEDIA REQUESTED
page 2 of 3
Name of Service or Date and Time of Service
required
SINGLE CD
select one
Cost:
$6.00
each
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Sub Total:
DOUBLE SET CD
select one
Cost:
$11.00
each
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SINGLE DVD
select one
Cost:
$12.00
each
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Sub Total:
DOUBLE SET DVD
select one
Cost:
$20.00
each
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Payment
page 3 of 3
You may pay by EFT or by check. (Check orders will be mailed after the check lears the bank.)
required
* required
