Duplication Request

Duplication Request

If you’d like a DVD or Digital Copy of an LMC program just complete the form below!
Contact Info
Name *

First Name Last Name
Email *
example@example.com
Membership status *

LMC Media member Not a member
Address

Street Address

Street Address Line 2

City State

Zip Code
Phone Number
Please enter a valid phone number.
Program Info
Is this a... *

Single program/event Episode of a series Varsity Sports Game
Program/Event title *
Series title *
Game Title *
Please include Home Team/Visiting Team
Episode title *
Please include episode # if applicable
Air date/Recorded date

Month Day Year
Game Date

Month Day Year
Program description *
Describe the content of the program to help us locate the correct episode. i.e. Show topic, Guest name, etc.
Number of copies *
Non-profits ordering 25 or more copies of a single program receive a reduced rate of $10 per copy. All orders must be submitted together.
Delivery method *

$20 - Digital File - Digital Download $15 - DVD - Pick up at LMC Media Center $20 - DVD - USPS Mail Delivery
Once payment is received, your digital file will be sent to {email} as entered at the top of this form.
You will receive a follow up email at {email} when your DVD(s) are ready for pickup.
Shipping address for DVDs *

Street Address

Street Address Line 2

City State

Zip Code
Should be Empty:

Contact Info