Order Form
Print this form, fill it out ( PLEASE PRINT! ) and mail to the address above.
Date:________________
Name:____________________________________________________
Address:__________________________________________________
City, State, Zip:_____________________________________________
Phone Number (Optional): (______)_________________
Email Address (Optional): ____________________________________
Privacy Policy:
Your privacy is important to us.
Thank you for supporting us.
Item Number | Quantity Ordered |
Title | Donation |
---|---|---|---|
$ | |||
Total: | $ | ||
Postage & Handling=10% ($1.00 minimum): | $ | ||
Freewill Offering: | $ | ||
Total enclosed (U.S. Funds): | $ |
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