INDIAN HILL TELEVISION NETWORK

Program: Presented by: Date:

ORDER FORM

Baccalaureate and/or Commencement The Indian Hill High School
2019

If you are interested in purchasing a copy of the video program produced by the Indian Hill Television Network, please fill in the blanks below. You will need to have a check made payable to the Indian Hill Television Network or IHTN. Send this order form and check to: Mr. Dupps; IHHS, 6865 Drake Road; Cincinnati, Ohio 45243; 272-4590. (Allow 4-6 weeks for delivery.)

Parent Name:

Phone:

Address:

City, State, Zip:

Student Name: ________________________________________

Special Offer for Baccalaureate & Commencement Combo:  $30.00 - DVD Combo Package or
 $40.00 - BluRay Combo Package

Individual Discs at $20.00 per DVD or $25.00 per BluRay

Check Box:	Baccalaureate	Commencement

_____ BluRay Discs @ $25 per disc = _______________Total

_____ DVD Discs @ $20 per disc = ________________Total