9&10 News Presents: A Presidential Visit

Order Form

Name

Address

City, State, ZIP

Quantity Ordered	@ $25.00 Each (a portion of the proceeds will benefit our troops)

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