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 NameLast Name
Email*
example@example.com
Membership status*

LMC Media memberNot a member
Address

Street Address

Street Address Line 2

CityState

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

Single program/eventEpisode of a seriesVarsity 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

MonthDayYear
Game Date

MonthDayYear
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

CityState

Zip Code
Should be Empty:

Contact Info