The Institute for the  
Humanities at Salado
 
 
AUDIO/VIDEO TAPE ORDER FORM
 
Please write the name of the speaker, title and date of the lecture for each tape which you wish to order:

SPEAKER

TITLE

DATE

___________________ _________________________ _________________________
___________________ _________________________ _________________________
___________________ _________________________ _________________________
___________________ _________________________ _________________________
___________________ _________________________ _________________________
 
______ Amount enclosed for _____ audio tapes ordered @ $11.00 per lecture/discussion tape(s), tax included
 
______$1.50 Shipping and handling charge
 
______ TOTAL AMOUNT ENCLOSED
 
Please make check payable to Institute for the Humanities and mail to same at
P.O. Box 527
Salado, TX 76571
 
Please include your name and mailing address below:
NAME___________________________________
ADDRESS___________________________________________________________
CITY _______________STATE _____________ ZIP CODE ___________
 
THANK YOU FOR YOUR ORDER