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Graduation Video Order Form

Graduation videos will be shipped when they are available after graduation or may be picked up at Student Central if you choose not to have them shipped.

* Required Fields
*First Name: *Last Name:
*Address: *City:
*State: *Zip Code:
Email Address:
*Please enter quantity of each video format desired:
  DVD ($10)

  DVD with Shipping ($15)**

   VHS ($10)

  VHS with shipping ($15)**
Make checks payable to LTC and send to:
LTC
c/o Ron Haese
1290 North Avenue
Cleveland, WI 53015
When mailing a check, please refer to graduate name on memo of check.
** If you've selected to have your purchase shipped, please verify the address above is correct for shipping purposes.