Tape Request Form

Office of Radio & Television - Program Request Form

The Office of Radio & Television makes many of its radio programs available on audiocassettes and television programs available on either DVD or VHS videocassette . If you would like to request an audiocassette, VHS videocassette or DVD copy of one of our programs, please print this form using your browser's printer icon, complete the form and mail it together with your donation to the address indicated below. All tapes/DVDs are shipped via U.S. Mail. Please allow 2-4 weeks for delivery.

I would like to request an audiocassette copy of the following radio program. I have enclosed a donation of $10.00 per audiocassette requested.

[   ] Bishop's Corner, Air Date ____________________

[   ] Sabbath Message, Air Date ____________________

[   ] SonRise Magazine, Air Date ____________________

[   ] Catholic Radio Weekly, Air Date ____________________

I would like to request a [ ] VHS videocassette or [ ] DVD copy of the following Celebration of the Eucharist (television Mass). I have enclosed a donation of $15.00 per VHS or DVD copy requested. Please note: Masses longer than 30 minutes (Easter, Christmas, special and parish Masses) are available for a donation of $20.00 per VHS or DVD copy requested.

Air Date ____________________
Celebrant (if known) _____________________________________

I would like to request a [   ] VHS videocassette or [   ] DVD copy of the following television program. I have enclosed a donation of $15.00 per copy requested.

[   ] Crossroads Magazine™, Air Date ___________________

[   ] That's The Spirit, Air Date ___________________

[   ] ListenUp Air Date ____________________
[   ] On This Rock - MVP™ Air Date ___________________

Donation Information:

[   ] Check/Money Order (made payable to the Office of Radio & Television)

[   ] American Express

[   ]   Discover Card

[   ]   MasterCard

[   ]   Visa

^{Account Number:}

^{Exp. Date:}

^{Cardholder's Signature:}

^{Security Code (3 or 4 digits):}

Ordered by:

^Name:

^Telephone:

^Address:

^City:

^State:

^{Zip Code:}

Please mail this completed form together with your donation to:

Attn: PROGRAM REQUESTS
Office of Radio & Television, 15 Peach Orchard Road, Prospect, CT 06712-1052
Telephone (203) 758-7367

[ ] Bishop's Corner, Air Date ____________________	[ ] Sabbath Message, Air Date ____________________
[ ] SonRise Magazine, Air Date ____________________	[ ] Catholic Radio Weekly, Air Date ____________________

[ ] Crossroads Magazine™, Air Date ___________________		[ ] That's The Spirit, Air Date ___________________
[ ] ListenUp Air Date ____________________		[ ] On This Rock - MVP™ Air Date ___________________

^{Account Number:}	^{Exp. Date:}
^{Cardholder's Signature:}	^{Security Code (3 or 4 digits):}