media_request

COMMUNICATIONS MINISTRY :: MAIN ::

Media Order Form

__ DVD (Video) __ CD (Audio)

Name of Event ____________________________________________

Date of Event _____________________________________________

DVD of Sunday Services = $7.00
DVD of Special Event = $10.00
CD of any event = $2.00
All copies must be prepaid.

Number of DVDs _________ X $__________ = $____________.00

Number of CDs __________ X $__________ = $____________.00

Total prepaid remittance .......................$________________.00

Your Name______________________________________________

Your Phone # ___________________________

Date ordered ____________________________

Please print out this form and take it along with your remittance to the church office. You may also mail this form and a check to:

Village Baptist Church Media Order

906 S. McPherson Church Road

Fayetteville, NC 28303