Contemplative Outreach
United in Prayer Day

Saturday, March 16, 2002

Video Tape Order Form

Name        ____________________________________________

Address:  ____________________________________________

City:          ____________________________________________

State:        __________________  Postal Code_______________

Country:  ____________________________________________

Phone:      ____________________________________________

Global Transformation 
with Fr. Thomas Keating
$19.95  video tape
    4.00  postage
$23.95   Total
Select Format _____NTSC (U.S.)   _____ PAL (foreign countries)

The format for the day of prayer will be included with video tape.

Please make checks payable to:
Contemplative Outreach, Ltd.
P.O. Box 737
Butler, New Jersey 07405
Or fax credit card orders to (973) 492-5795

You may use Visa or Master Card

Card Number  _______________________________________

Expiration Date:   _____/_____

Signature:        _______________________________________