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JESUS VIDEO ORDER FORM

(you may print this form, add information from the online order form)

CALL 1-800-432-1997 or 714-361-4425 for Faster Service on Credit Card Orders
FAX 714-492-0381

SHIP TO:

Name ____________________________________________________________

Address _________________________________________________________

City ______________________ State _______________ Zip ___________

Country _________________________________________________________

Phone (_____) ________________ Fax (_____) ______________________


_________________________________________________________________
|Quantity| Language________________ | Format_ |Unit Price__ | Total Amount |
|_______|________________________|_______|__________|____________|
|
|_______|________________________|_______|_________|____________|
|
|_______|________________________|_______|_________|____________|
|
|_______|________________________|_______|_________|____________|
|
|_______|________________________|_______|_________|____________|
|
|_______|________________________|_______|_________|____________|


Subtotal |_________________|
|
California residents add 7.75% sales tax |_________________|
|
Shipping & Handling |_________________|
|
TOTAL |_________________|



SHIPPING & HANDLING CHARGES INTERNATIONAL ORDERS:
UPS: $4.50 first videotape. ($1.00 each additional video shipping and handling)
AIRMAIL: $15.00 first videotape. ($10.00 each additional video shipping and handling)

PAYMENT METHOD:

CHECK - made payable to The JESUS Film Project, drawn on U.S. bank in
U.S. dollars.

CHARGE - to a credit card, check one: [ ] VISA [ ] MASTERCARD
[ ] DISCOVER

Card Number: ___________________ Exp. Date: ________________

Cardholder Name: ___________________________________________


MAIL OR FAX: The JESUS Film Project, PO Box 72007, San Clemente, CA
92674-9207
Phone: 714-361-4425, (714) 361-7577, Fax (714) 492-0381

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11/13/00