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