Ship To:
Your Name:_________________________________

Your Address1:_____________________________

Your Address2:_____________________________

Your City,St, Zip:_____________________________

Circle one:

I'd like to order 1 DVD :$ USD_____11.00_______

I'd like to order 2 DVD :$ USD_____22.00_______

I'd like to order 3 DVD :$ USD_____33.00_______

I'd like to order 4 DVD :$ USD_____44.00_______

I'd like to order 5 DVD :$ USD_____55.00_______

For an additional $7.00 you can also get the "Best of Massillon 2005" DVD

Also send me a 2005 DVD: $ USD_____7.00_______

TOTAL $ Enclosed: $ USD______________________________________

All Prices already include shipping and handling!

Please mail check or money order (on a U.S.A. drawn bank) made out to Jimmy D. Isom to:

MassillonProud.com
PO BOX 25
North Industry, Ohio 44707