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(Please Print)
Name: ______________________________________________
Address: _______________________________________________________
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Zip/Postal Code: _____________ E-Mail Address**: ______________________________
METHOD
OF PAYMENT
Please make payments payable to: Jason Sprague
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| ___ | International POSTAL Money Order |
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| ___ | Money Gram Money Order |
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| ___ | Other |
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____________________________________ DATE: __________________
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VIDEOS: --- (VHS FORMAT IS NO LONGER AVAILABLE!)
TITLE ______________________________FORMAT: DVD+R___ Instant Download from website
___
TITLE ______________________________FORMAT: DVD+R___ Instant Download from website
___
TITLE ______________________________FORMAT: DVD+R___ Instant Download from website
___
TITLE ______________________________FORMAT: DVD+R___ Instant Download from website
___
TITLE ______________________________FORMAT: DVD+R___ Instant Download from website
___
TOTAL ________
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