SPECIAL CAP ANALYSIS REQEUST FORM
PRINT ALL INFORMATION EXCEPT SIGNATURE
For each title to be analyzed, print this page, complete the form, include the donation and a self-addressed, stamped envelope (SASE).
Please conduct CAP analysis of the following movie/film:
Source Information:
| Your Name/Title/Affiliation: |
| Your Street Address/Suite/Apt. No./Floor, etc: |
| Your City/State/Zip: |
| Your Email Address: |
| Your Phone Number (with Area Code): ( ) |
If you send us the requested title on VHS or DVD with your donation, do you want the VHS/DVD returned?
Yes [ ] No [ ]
If YES, ensure return packaging and postage are included. | Do you wish to leave your donation with the CAP Ministry even if we cannot/will not coduct anaysis of your desired film/movie?
Yes [ ] No [ ] |
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Send this form plus the donation (and VHS/DVD if used) to: CAP Ministry, P. O. Box 177, Granbury, TX 76048-0177
Your SIGNATURE: _________________________________________
All donations are tax-deductible. TIN: 75-2607488
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