DVD Order Form

* Program name provided in email

* I would like to order a DVD of this show.

$20 (includes shipping & handling)

I would like to order addtional copies of the DVD:

# x $15 each (includes shipping & handling)

$

I would like to make a donation in support of LexMedia

* Do you want to pick up the DVD at LexMedia or have it mailed?

Pick-up at LexMedia

Please mail (no extra charge and payment by credit card only)

* Indicates Response Required