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Print the form, complete and mail it with payment
to:
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New Philadelphia Church Family
c/o Administrative Secretary
1902 Dominguez Street
Carson, California 90810
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For more information, please call the church office at (310) 830-8777
or toll free at 1-866-687-4459.
In order for you to receive the correct recording, it is important
that you fill out the information below as accurately as possible.
Thank You!
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| Today’s Date |
____________________________________________________________
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| Type of recording you are requesting: |
| ____Cassette ____ CD ____Video |
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| Name: |
____________________________________________________________
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| Address: |
____________________________________________________________
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| City, State, Zip: |
____________________________________________________________
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| Phone number: |
____________________________________________________________
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| Date of the tape: requested: |
____________________________________________________________
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| How many recordings are you requesting? |
| Cassette ____ CD ____ Video ____ |
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| Which service? ____7AM ____ 10AM |