Stage Directions: 60 Years With the Black Hills Playhouse
DVD Documentary Order FormName: _____________________________________________ E-Mail: ___________________________
Address: ________________________________________ Home Phone: ( _____ ) _________________
City: __________________________________________ State: ______ ZIP: _______________________
Please check one: _____ BHP Supporter: _____ BHP Alum/Years: ______________________________
_____ I want to be a Stage Directions Special Supporter and also make a donation.
Please send me ______ copies of the DVD of Stage Directions @ $60 (includes shipping) = $ ________
_____ I do not want to make an extra donation. Please just send me ________ copies of
the DVD of Stage Directions @ $29.95 + $ 3.55 shipping/handling ($33.50 total for each) = $ ________
_____ Enclosed is my check # __________ in the amount of $ __________________________________
_____ Charge my ___ VISA ___ MC ___ Discover Acct # ________________________ for $ ________
Full Name on Your Credit Card _______________________________ EXP Date _________________
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IF PAYING BY MAIL OR FAX - PRINT ORDER FORM AND RETURN WITH CHECK, MONEY ORDER OR CREDIT CARD INFORMATION TO: BHP Alumni Association, 1850 Skyline Ranch Road, Rapid City, SD 57701 • FAX: 605-786-0140 Questions? Call 605-787-7099 or e-mail bhpaa@BlackHillsPlayhouse.com
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