|
|
|
| FOR OFFICE USE ONLY Order received ______________ Order shipped ______________ |
|
ITEM# |
QTY |
DESCRIPTION |
PRICE |
TOTAL |
|
Sub Total |
||||
|
Mail this form with payment to:
|
S/H | |||
| Total | ||||
Billing Information:
Print Name ____________________ Address _______________________________ City ______________ State _____ Zip __________ Country:____________________
Phone ____ ______________ __ Visa __ MasterCard __ Check __ Money Order Charge Card No. _____________________________ Expiration Date __________ Signature _______________________________ For charge Card Purposes Only.
Ship to: If same as Billing address, print "Same"
Print Name ____________________ Address _______________________________ City ______________ State _____ Zip __________ Country:____________________
Phone ____ ______________
How did you hear about us? __________________________________________
Your e-mail address ____________________________________________________
Don't Forget To Mention Your Favorite Church Family.
Comments: ___________________________________________________________
____________________________________________________________
THANK YOU!
|
Home | Gift Certificate | FAQ's | Links | About Us | Contact Us | God's Promises |