(Print this order form and fax or mail it to CrossWise)
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Christmas Break Video Order Form
Please send me ____ copies at $30 each (includes tax & delivery) Video delivery expected by mid-January, 2004.
Name: _______________________________________________
Address ______________________________________________
City/State/Zip _________________________________________
Email: _______________________________________________
Phone: _______________________________________________
Include $30 each, or fill out credit card information:
Name on Card: _________________________________________
Card Number :__________________________________________
Type __ MasterCard __ Visa __ Discover __ American Express
Exp Date: ____________Signature: _________________________
Mail to: CrossWise Productions
PO Box 4129
Or fax to:
972-291-3400
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