DVD VIDEO ORDER FORM

Camp Robinson Crusoe Documentary
"My Heart Will Always Here Belong"

Documentary DVD $29.00 ($25.00 per copy PLUS $4.50 shipping in padded envelope)

____ Number of DVD's @ $29.50 per copy

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* Name and address the DVD should be mailed to:
 

NAME     ______________________________________________
 

ADDRESS  ______________________________________________
 

         ______________________________________________
 

EMAIL    ______________________________________________

Enclose this order form and your check made out to Bruce Butcher.

Mail to:

      Bruce Butcher
      4 Marlboro Drive
      Leicester, MA 01524

For further information: bbutcherbcb@gmail.com