PrisonVideos.com

APPLICATION FORM

Print out this form, fill in the blanks, and mail it to our address below.
Currently we can ONLY make this offer available to prisons in North America.

Full name and address of the organization and person initially responsible for these videos:

Name_______________________________________________________________________

Organization (if any)______________________________________________________

Address____________________________________________________________________

City__________________________State_____________Zip________________________

Phone(_______) _______-__________  home  office

Email____________@______________

Name and general location of prison facility(s) where the videos will be used:

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________
For Free Videos, you must sign this…
I am (or we are) an active prison chaplain, prison ministry or prison worker currently financially unable to purchase needed Christian videos for this ministry. I have prayerfully chosen videos in the list below which I want to use for evangelizing and discipling prisoners. If the Lord enables Christian Videos for Prisons to give me (us) these videos, I (we) promise to immediately put them to use on an ongoing basis - showing them to inmates in a prison, jail or reformatory for the purpose of winning souls for Christ. I understand that supplies and donations are limited. Lest another worthy chaplain or prison ministry be needlessly denied a video they need, I have selected only those items that I am certain I (we) will use. I (we) will supply a report on the results of our showings to Christian Videos for Prisons to let the donors know how the videos have been used and what the Lord has done.

Signature________________________________________________________________


General description of correctional institution and/or intended use of these videos:




Please describe your INTENDED USE and HOW OFTEN you plan to use these videos:




Why do you feel that you need these videos free-of-charge?




(All FREE videos are available in standard North American video format only.)

The Case for Creation [info].............. English
Con Quein te Vas? [info].............................. Spanish
    (With Whom Will You Go?)
Countdown to Eternity [info].............. English  
The Genesis Solution [info]............... English
The Good Test ............................ English
The Great Dinosaur Mystery [info]......... English   Spanish
The Heart of the Father .................. English
Messages from Heaven [info]............... English   Spanish
ORIGINS [info] series of 6................ English   Spanish
...Origin of the Universe [info].......... English   Spanish
...Earth, A Young Planet? [info].......... English   Spanish
...Origin of Life [info].................. English   Spanish
...Origin of Species [info]............... English   Spanish
...Origin of Mankind [info]............... English   Spanish
...Fossil Record [info]................... English   Spanish
A Question of Origins [info].............. English   Spanish
Rescatodos del Infierno (Rescued from Hell) [info].... Spanish
Resurrection [info]....................... English
Ropa Nueva Felipe (New Clothes for Felipe) [info]..... Spanish
Who Is Jesus? [info]...................... English
The Window [info]......................... English
The World that Perished [info]............ English   Spanish
NOTE: Please review the descriptions of each video before placing your order. Order only those that you feel fairly confident that you will actually put to work in your correctional institution(s). Although these videos are offered free of charge to your prison ministry, they are certainly NOT free to us. We or our donors pay for each one, plus shipping, packing, etc. So please do not waste precious ministry resources by ordering videos that you have no serious intention of using. Also, please remember that this special free offer is available only to chaplains and wardens of prisons, jails, other correctional institutions, and other legitimate prison ministries. These videos are only to be shown to prisoners and people connected with your prison ministry. They are NOT to be shown in outside churches, schools, etc. where normal retail prices apply.

(complete the remainder of this form, only if you are purchasing videos at prison ministry discount)






For Purchase at Prison Discount
I (we) would like to put your Christian videos to work in evangelizing and discipling prisoners. For this purpose, I would like to take advantage of your SPECIAL DISCOUNT to prison chaplains and prison ministries. Please accept our order for the following items marked below. (All prices are in US dollars and are 30% or more below normal. Satisfaction guaranteed.)

The Case for Creation [info] US$14........... English
Countdown to Eternity [info] US$14........... English   Spanish
The Genesis Solution [info] US$14............ English
God's Story [info] US$14..................... English
The Great Dinosaur Mystery [info] US$14...... English   Spanish
The HOPE [info] US$14........................ English   Spanish
Jesus [info] US$14........................... English   Spanish
How Jesus Died [info] US$14.................. English
ORIGINS [info] series, US$69................. English   Spanish
The World that Perished [info] US$14......... English

Many other videos are available for purchase from our catalog at the prison ministry discount (http://EdenCatalog.com). Write your choices below.







Shipping Charge on above purchases is 10% of total order (minimum $3.50)

Method of Payment:     Check      Money Order      VISA

                                   MasterCard      Discover

Card # _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _      Exp. Date____/____

Name shown on Card:_____________________________________________________

Signature________________________________________________________________

Mail this form to:
Christian Videos for Prisons (PrisonVideos.com)
PO Box 1167
Marysville WA 98270-1167

Toll-free phone: 1-800-332-2261
Phone 480-507-3621 / E-mail

Christian Videos for Prisons is a non-profit ministry of Films for Christ.