45th Reunion DVD Order Form

45th Reunion DVD Order Form
To order DVD's please mail this form with your check to the following address:
Lee Mitchell 3454 Dandelion Crescent Virginia Beach, VA 23453

Name:	____________________________________
Address:	____________________________________
City:	______________________	State:____	Zip: ______

Item 1--58 minute "45th Reunion at the Fire House" DVD			____ Copy @ $5.00 = $_________
Item 2--17 minute "Musical Memory" DVD			____ Copy @ $5.00 = $_________
Please make checks payable to Lee Mitchell			Total Due	$_________
If you cannot print this form, just send a note with the same information.