Dewey Rowe Ministries
Service Order Form
Media:  CD - $7.00/Cassette - $3.00

Place of Service: _____________________________________Date of Service _________________

CIRCLE Media type - CD or Cassette  Series#____________ Number of copies wanted __________

Name:  ____________________________________________

Address:  __________________________________________

City:  ___________________________  State:  ___________        Zip:  ____________

Daytime phone:  ________________________________________________________

**Requires $2.00 additional charge for shipping

Please allow 2 - 3 weeks for media.  Payment for media is required in advance.