Visa/MasterCard
#: __________________________
Expiration Date: _______________
Please Sign Name:
__________________________________
(Valid
only with cardholder's full signature)
Please Print
Name: ________________________________________
Address: ________________________________________
Address: ________________________________________
City: ________________ State: _____ Zip:
_________
Please choose format: ______ VHS - OR
- _____ DVD
Mail To:
Lynn Schaeffer Productions
659 Lynes Rd.
Dillsburg, PA 17109
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