Centennial DVD Order Form

* Make checks payable to:    DPCA

Name: __________________________________________________

Address: ________________________________________________

City: ____________________________________________________

State: ___________________     Zip:   _________________________

Email: ____________________________________________________

Number of DVD:  _________ x $19.95 each.   Total DVDs $_________

Shipping outside of the US is $5.00 extra. 

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Payment must be made in US Funds and drawn on a US bank. There will be a $25.00 service charge for any check not honored by the bank.

Print, complete, and mail this form along with your check/money order made payable to DPCA to:

Michelle Kramer
3345 Musgrove Rd.
Williamsburg, OH 45176-9728