MRA Videotape Order Form

Please fill out the following form and submit it to MRA to order videotapes. Videotapes are available to members only. You can also print out the form and mail it, or call the MRA office at (517) 482-5244. Please have the video reference number ready.

Name:
Company
Address
Zip State
E-mail Address:
Phone
Fax:

Fill out the titles and reference numbers of which videos you would like to order. If you wish to purchase a video, please check the invoice box. Thank you!

REF.# Video:
REF.# Video:
REF.# Video:
REF.# Video:
REF.# Video:
REF.# Video:
REF.# Video:
REF.# Video:

Invoice me for REF.# this video:
Invoice me for REF.# this video:
Invoice me for REF.# this video:



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