Mailing address - please print clearly Contact information for DVD

The 2017 KSU spring commencement was filmed by CCA Productions at the Frankfort
Convention Center. To reserve a DVD of the ceremony, please fill out this form and mail it and
payment to:
Kentucky State University
c/o Alison Jackson
400 East Main St.
Hume Hall 102
Frankfort, Ky. 40601
Reserve your copy today!
DVD purchase options
Full-length DVD of commencement
$20
I would like to order ___ of these
Please add $5 for shipping (includes postage and materials)
I plan to pick up my DVD at KSU ____
Please make payment payable to Kentucky State UniversityTOTAL$_____
Mailing address - please print clearly
Name: ____________________________________________ Street: ________________________________
City: ________________________ State: ____________________ Zip code: ________________________
Country (if applicable): ______________________________ Postal code: ___________________________
Contact information for DVD delivery
Phone number: _____________________________ Email address: ________________________________