Digital Media: Order Form

Order Date:_________________________________

Your Name:                                                         __________

Your phone#:  (      ) _                                           ________

Message Title                          ______________________

Preacher/ Speaker                                                 ________

Message Date:_________________________________

Sunday:                                                     

Wednesday:                                               

Other (specify):                                          

What are you ordering?
  CDs__                        DVDs__
#copies:              at $            each = $       

 Audio Download*:
#copies:              at $             each = $       
(*must supply your own zip/jump drive)

TOTAL DUE: $                                                   
PAYMENT IS DUE WHEN ORDER IS DELIVERED.
[CD's = $6     DVD's = $7__Downloads = $4]________
TO BE COMPLETED BY MEDIA REPRESENTATIVE:

Order PAID!   Rep Name:                                            

Amt Paid: $                Payment method: Cash __  Check  __             
NOTE: Ensure payment is put into an offering envelope. 

CHECK ANY THAT APPLY:
Sunday school- doing Sunday School on message date.
Security- doing security on message date.
Order complete date:                                                        

Rep Name: