Please send me ______copies of the DVD format of “On Both Sides of the Wall”
Requested contribution is $5 per DVD. For 25 or more DVD’s, suggested contribution is $3 per DVD

Name: ____________________________________________________ Please print

Home Address: (street/route/box) _____________________________________________________

City: _________________________________ State: __________ ZIP: _____________

Include a contribution check with your request, payable to Kairos Prison Ministry of Ohio. Mail your completed order form and check to:

Bill Gibeaut
2200 Sheringham Rd.
Columbus, OH 43220

For more information contact: wmgibeaut@aol.com