CWS Film&Video Library Order Form

CWS Film & Video Library resources are only available on a free-loan basis. The only cost to you is the return shipping. To order online, fill out the form below and press the Submit button. Required fields are in red. You can also place an order by email, or you can print out this form, fill it in, and fax or mail it to:

CWS Film & Video Library
28606 Phillips St.
Elkhart IN 46515
Fax: 574-262-0966

PLEASE NOTE that we can only ship our videos to an address in the United States. View our privacy statement.

Videos are only available in the formats listed in the catalog descriptions. Videos requested in DVD will be shipped in VHS if the title is not available in DVD.

Video/Film Title	Format	Show Date (mm/dd/yy)

Alternate Title		Alternate Date

Video/Film Title #2	Format	Show Date (mm/dd/yy)

Alternate Title		Alternate Date

Video/Film Title #3	Format	Show Date (mm/dd/yy)

Alternate Title		Alternate Date

Video/Film Title #4	Format	Show Date (mm/dd/yy)

Alternate Title		Alternate Date

Video/Film Title #5	Format	Show Date (mm/dd/yy)

Alternate Title		Alternate Date

To order additional titles please use the Comments box below or submit another order form.

Your Name:	Organization:
User Number: (repeat borrowers)	Phone:
Street Address: (no P.O. Box, please)

City:	State:	Zip:
E-mail:		Additional Comments:
A Film & Video Library catalog will be included with your mailed order confirmation.

Thank you for your order!

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