* Indicates required field.
ORIGINS SUMMIT MEDIA ORDER FORM
April 1-2, 2011
Gladstone Park Conference Center
If you have any questions or problems with this form please contact
Krissy Barber at email@example.com
DVD COSTS - $15 each DVD
OR $55 for the set
CD COSTS - $55 (Sets of 8 only)
MP3 COSTS - $50
Please note: Prices include packaging and postage.
US ADDRESSES ONLY
***To learn more about each time period and the speaker's topics please click here.***
For those paying by credit card:
Please call A & J Enterprises with credit card information following the completion of this form. Call 360-802-2033.
For those paying by check:
Please mail your check to:
A & J Enterprises
42717 188th Ave. SE
Enumclaw, WA 98022
Please note: Your order will not be shipped until your check has been recieved.