CD or DVD Order Form
 
Please fill out this CD or DVD order form to confirm your request. Thank you for your time and consideration.
 
 
Name
 
 
 
Address
 
City
 
State
 
Zip Code
 
Email Address
 
Contact phone number with area code
 
Are you ordering a DJ Bryant Live Mix from the radio station?
 
 
 
What is the mixshow name?
 
Are you ordering a CD or DVD?
 
 
 
If so, Cd is $15, DVD $25. Please state how many of each
 
 
 
Are you ordering a videotape? If so each tape is $20 each and description of your event
 
 
 
How may tapes are you ordering?
 
Please place total amount of order here