Video Tape Order Form
Name ____________________________________________
Address: ____________________________________________
City: ____________________________________________
State: __________________ Postal Code_______________
Country: ____________________________________________
Phone: ____________________________________________
| Reflections on 9/11 with Fr. Thomas Keating |
$19.99 video tape 4.50 postage $23.95 Total |
| Select Format | _____ NTSC (U.S.) _____ PAL (foreign countries shipping slightly higher) |
After March 15, the tape will be the regular price of $24.99.
Please order after January 15, 2003.
| 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: _______________________________________