2021 COMMENCEMENT CEREMONY
DVD ORDER FORM

If you would like to purchase a DVD of the Missouri State University-West Plains commencement ceremony, please complete the following and return by May 25, along with payment.

You can drop the form and payment off in the mail slot at the OCTV Studio in the West Plains Civic Center. The studio is located right next to the Gohn Room.
Or you can mail the form along with payment to the following address: Media Arts Center/OCTV
P.O. Box 309
West Plains, Mo., 65775

Your DVD will be mailed in July. Please put your mailing address below.

Name  	

Address  	

City	State  	

Telephone _ 	

Type	Quantity	Price	Total	
DVD		$20	$	
Amount Enclosed:	$	

Checks should be made out to The Media Arts Center, Inc

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For Office Use Only:		Check	Cash	Initials