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Worlds Greatest Gospel Quartet Concert: VHS (tape) _______ DVD (disc) __________ ($15.00) Quantity ($20.00) Quantity Dreaming Concert: VHS (tape) _______ DVD (disc) __________ ($15.00) Quantity ($20.00) Quantity August Knoll Concert: VHS (tape) _______ DVD (disc) __________ ($15.00) Quantity ($20.00) Quantity VHS Tapes _______________________ X $15.00 $______________ Total Number of Tapes Total Cost of Tapes DVD Disk ________________________ X $20.00 $_______________ Total Number of DVD’s Total Cost of DVD’s
Grand Total of VHS Tapes and DVD Disk’s and Amount enclosed $_______________ Send VHS/DVD’s to: Return this form and payment to: __________________________ Arline Davisson __________________________ Clermont Historical Society __________________________ P.O. Box 103 __________________________ Clermont, IA 52135
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