DVD Package Order Form
The Holding Company- how lives flow through brick and mortar

Name: __________________________________________________________

Address: _______________________________________________________________

_______________________________________________________________

Email: _________________________________________________________________

Phone Number: _________________________________________________________

Purchase Options:

­­­ _X DVD/Booklet Price $20.00

_X_ Tax: $ 1.68

____ If Applicable: Member Discount (less 10%) ($ 2.17)

____ If Applicable: Shipping $ 1.73
TOTAL ENCLOSED:

Payment Options:

___ Check (Checks should be made out to GAGA Arts Center)

___ Cash (in person ONLY)