Film Institute DVD Order Form
To process your order, please complete and return with payment,
cost per movie is $15.
Quantity Quantity
Z-TV
Suite Dreams Anything For The Game
The Remnants I am the Strand Documentary
A Very Tough Course Forgotten Justice
The Road To Destiny Ray of Sunshine
This Was My Life Documentary Brothers Two
Sm. Town Big Heart Documentary Jeremiah’s Secret
At War With The Ants From The Heart
NAME: ______________________________________________________________________
ADDRESS: __________________________________________________________________
PHONE: _____________________________________________________________________
Most orders will be finished in 3-5 business days. How would you like to receive your order?
_________ Please contact me at the phone number listed above when my order is ready,
and I will pick it up from the Division Office D316.
_________ Please mail me my order at the address listed above. (Note: An additional $5.00
fee will be charged for mailings bringing the total to $20.00 per item.)
*Please make checks payable to “BPCC Foundation – Communication Media”*
TOTAL COST =_$____________
Return the order form and payment by dropping it off in the Division Office D316 or mailing it to:
Bossier Parish Community College
Attn: Division of Communication and Performing Arts
Film Institute
6220 East Texas St.
Bossier City, LA 71111
comm_media@bpcc.edu
FOR OFFICE USE ONLY
PAID IN FULL_________ PAYMENT ACCEPTED BY______________________ DATE_____________
