FRENCH CABLE STATION DVD ORDER FORM

Name _________________________________
Address _______________________________
Address _______________________________
Email _________________________________

Donation for each DVD is $12. Shipping and handling is $2.00 for up to 3 DVD
and $1.00 more for each additional DVD

Date……………………
Quantity of DVD………………
Amount Enclosed………………

Mail form and check to
French Cable Station Museum
PO Box 85
Orleans , MA 02653