9&10 News

Newscast Order Form

Date of Newscast

Name of Newscast

Just a specific story, or the whole newscast?	Only the following story: The whole newscast

Your Name

Shipping Address

City, State, ZIP

Quantity Ordered	@ $50.00 Each

Format	DVD VHS

Please make check or money order payable to 9&10 News

Print this form and mail it with your check or money order to:

9&10 News
Attn: Video Request
22320 130th Ave.
Tustin, MI 49688