Welcome Home Order Form
  1. Fill out the order form below. Be sure to tell us whether you'd like a DVD or VHS cassette.
2. Pay by check or money order, made payable to "Your Story Video LLC"
3. Print this page.
4. Mail the completed order form and your payment to:

Your Story Video

964 Meadowlark Cir

Waconia, MN 55387-9787

  (We can also take credit card payments through www.paypal.com to account name "drsteuss@hotmail.com", but still require a mailed order form.)
Questions? E-mail yourstoryvideo@gmail.com or contact Jason Steussy at (612) 709-1849.
Shipping Information  
  Name:    
Address:
City:
State:
ZIP/Postal Code:
E-Mail Address:
Telephone:
(Your contact information is gathered to help complete this order only. We respect your privacy and will not make future solicitations or pass this information on to other entities.)
 
Your Video Order
 

Choose your order quantity and price by filling in the box below.

I would like to order:

If you would like to order BOTH the Welcome Home and Military Salute videos, click HERE and save on shipping!
Please allow 2-4 weeks for shipping and handling. Videos are shipped via United States Priority Mail. Thank you for your order!