Purchase DVD

TO PURCHASE DVD AND PAY BY CHECK: use this form.

TO PURCHASE DVD AND PAY ONLINE: use the form below.

Purchaser Information
Name*
First Last
Phone*
Email*
Billing Address*
Street Address Address Line 2 City State ZIP Code
Shipping Address
- Same as Billing
(uncheck this box if you need to enter a different address for the recipient.)
Recipient Information
Name*
First Last
Shipping Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Order Information
DVD QTY*
Shipping & Handling*
Do you have an Educator Code?*
- Yes
- No
Educator Information
Educator Code

please note: the educator discount is only valid for one DVD
School District Name*
School District Address*
Street Address Address Line 2 City State ZIP Code
Grade Level*
Subject*
Total Payment Due
$0.00
Comments
This field is for validation purposes and should be left unchanged.

Online Purchase: please enter separate orders to send DVDs to different addresses.
For addresses outside the U.S., or orders in excess of 3 DVDs, please contact our treasurer at treasurer@jfkthelastspeech.org for shipping charges.

Purchaser Information