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Audio-Visual Copy Request Form

Request for Columbia Audio-Visual Services
* Required
First Name *
Last Name *
Email Address *
 
 
Area Code
Phone Number
Home Phone *
Work Phone *
  Ext:
Audio Service requested:
 Sat. 6:29 Worship
 Sun. 8:30 am (Contemplative)
 Sun. 9:45 am (Celebration)
 Sun. 11 am (Classic)
 Other
If you select "Other", please type in the name of the Audio Service you wish to order.
     Date of Audio Tape/CD
     Quantity of Audio Tape/CD
     Format
 Tape
 CD
Video Service
 Sun. 11 am (Classic)
 Other
If you select"Other", please type in the name of the Video Service you wish to order.
     Date of Video VHS/DVD
     Quantity of Video VHS/DVD
     Fromat
 VHS
 DVD
Suggested Donation:
$2 per Audio Tape/CD
$5 per Video Tape/DVD

Please pick up your recording at the Information Center during regular business hours or on Sunday mornings during worship hours.



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