To get your 2009 DVD gift set when you contribute $30.00 or more

Fill in this form and  Submit it so we can reserve your DVD

The Production Run is in process and will be ready within about two weeks.

Once you have Submitted this form you will be given instructions for payment.

Donor’s Name:

Donor’s Phone:

Donor’s E-mail:

Check the Contact Me box (below)

IF:

You do not want to pay on line by credit card and want us to call you to take your credit card payment on the phone.  We will then arrange a time that we will call.

You wish to order a quantity of DVD sets.

Otherwise just leave the Don’t Contact Me box checked

 Contact Me
 

Don’t Contact Me

Ship to Name:

Address

Address 2

City

State

Country:

Zip

PRINT A COPY OF THIS FORM FOR YOUR RECORDS and then Click the Submit Button below to send your order directly to us via the Internet