Your Full Name

Mailing Address

City, State, and Zip Code

Phone Number, w/ Area Code

Email Address

Quantity

Date(s) of Service(s)

Speaker / Title of Program

Audio*

DVD**

Audio tapes $3.00/each*

DVD's $7.00/each

TOTAL AMOUNT ENCLOSED

*Audio tapes are available for services from January 1999 to September 2007.

**You may order DVDs of services from August 2003.

Make check or money order payable to: San Francisco Central Adventist Church

(Sorry, no cash or credit cards.)