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2007 COCHUSA National Youth Conference

Order Form

Thank you for ordering a DVD copy of the 2007 COCHUSA National Youth Conference. The cost of the DVD is $25.00 which

includes shipping. Please complete the order form, enclose a check (made payable to MJC Video) or order online via Paypal.. We will promptly process your order. If we have any question with the order; we will contact you by phone.

Please provide the following contact information:

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Paypal Click here to order DVD via Paypal

Paypal email address: jcade64@hotmail.com

Check#

All checks made payable to: MJC VIDEO

$25.00 per DVD ( please add $1.50 postage and shipping cost) Total Amount: ___$26.50__

Return order form and payment to: MJC Video Productions

Jerome Cade

4769 RedBranch Drive

Decatur, GA 30035

770-322-3564

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Special Instructions?

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

	SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

MJC Video ProductionsCopyright © 2007 [MJC Video]. All rights reserved. Revised: July 29, 2007

MJC Video Productions
Copyright © 2007 [MJC Video]. All rights reserved.
Revised: July 29, 2007