Send request to

MSNS Video Library,

P. O. Box 87931

Canton, Michigan 48187

 

 

Print this form.  Fill it out.  Send it in.

 

MSNS Member or Club name

 

 

 

Club Contact Person or Member Full Name

 

NAME

 

 

SIGNATURE

 

 

Street Address

 

 

City State ZIPcode

 

 

Telephone

 

Cell phone

 

Email

 

 

 

Shipping Address

 

Ship to Name

 

Street Address

 

City State ZIPcode

 

 

First Choice

 

 

Second Choice

 

 

Third Choice

 

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