Jean Vanier Video ORDER FORM

To order a copy of "A Visit With Jean Vanier," print a copy of this page,
fill it out and send it with a check to:

Spectrum Media
271 Willow Avenue
Somerville MA 02144

For questions call us at 617.491.4300

All orders must be prepaid. We do not accept purchase orders.
Please make checks payable to Spectrum Media.

NAME ______________________________________________

ADDRESS _______________________________________________

CITY, STATE __________________________________________

ZIP __________________

PHONE ___________________________

Number of Copies: @$45.00 ea. _______________

Shipping and Handling (USA) @$5.00 ea. _________________

TOTAL _______________________

Thank you for your order.

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