150th Church Anniversary Revival CD/DVD Order Form

Name (First, Last)	*
Mailing Address (street, city, state, zip)	*
Best Contact Number	*
Your Email Address	*
Please select the number of CDs you desire to purchase.	*  (0) None (1) Tuesday Night CD - Dr. Michael Eric Dyson  (Add $7.00)(2) Tuesday Night CD - Dr. Michael Eric Dyson  (Add $14.00)(3) Tuesday Night CD - Dr. Michael Eric Dyson  (Add $21.00)(1) Wednesday Night CD - Dr. Wanda Frazier-Parker  (Add $7.00)(2) Wednesday Night CD - Dr. Wanda Frazier-Parker  (Add $14.00)(3) Wednesday Night CD - Dr. Wanda Frazier-Parker  (Add $21.00)(1) Thursday Night CD - Dr. Jamal Bryant  (Add $7.00)(2) Thursday Night CD - Dr. Jamal Bryant  (Add $14.00)(3) Thursday Night CD - Dr. Jamal Bryant  (Add $21.00)
Please select the number of DVDs you desire to purchase.	*  (0) None (1) Tuesday Night DVD - Dr. Michael Eric Dyson  (Add $10.00)(2) Tuesday Night DVD - Dr. Michael Eric Dyson  (Add $20.00)(3) Tuesday Night DVD - Dr. Michael Eric Dyson  (Add $30.00)(1) Wednesday Night DVD - Dr. Wanda Frazier-Parker  (Add $10.00)(2) Wednesday Night DVD - Dr. Wanda Frazier-Parker  (Add $20.00)(3) Wednesday Night DVD - Dr. Wanda Frazier-Parker  (Add $30.00)(1) Thursday Night DVD - Dr. Jamal Bryant  (Add $10.00)(2) Thursday Night DVD - Dr. Jamal Bryant  (Add $20.00)(3) Thursday Night DVD - Dr. Jamal Bryant  (Add $30.00)
I would like to purchase the entire revival sermon series.	*  None 150th Anniversary Revival 3-CD sermon series  (Add $21.00)150th Anniversary Revival 3-DVD sermon series  (Add $30.00)
Would you like to pick up your CD/DVD or have it shipped to your home? **A $3.00 shipping and handling fee is added for 1-2 CD/DVDs and $5.00 for 3 or more	*  Pick up at MZBC Shipping for 1-2 CD/DVDs  (Add $3.00)Shipping for 3+ CD/DVDs  (Add $5.00)
Total	$