Concordia Cemetery Association

Veteran's DVD Order Form

 Ordered By

Your Name: __________________________________________

  Address: __________________________________________

                   __________________________________________

                   __________________________________________

# of DVDs ____   @ $10.00 each       Total Enclosed $________________

Ship to:

We will happily ship each DVD ordered to separate addresses.   Use the back of this form for additional addresses.

       ________________________________________________________

       ________________________________________________________

       ________________________________________________________

Mail this form and your check (made payable to Concordia Cemetery Association) to

Your tax deductible donation will be acknowledged in the next issue of the "Concordia News."