VIDEO ORDER FORM

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Please fill in the following data

Organization:
Contact Person:
Address:
Postcode:	City:
State (USA):
Country:
E-Mail address:
Phone:

Please indicate the title of the video you wish to order,
the system (PAL,NTSC or SECAM) and the language.

World Council of Churches
150, route de Ferney
P.O: Box 2100
CH-1211 Geneva 2
Switzerland
Phone:+41(0)22-791 61 11
Fax:+41(0)22-798 13 46