|
| |
| |
ORDER FORM
|
SHIP TO: |
Name:
|
| |
Address:
|
| |
City: |
State or Province: |
Zip: |
| |
|
|
|
| |
|
|
|
|
Quantity |
Item Description |
Amount Each |
Total |
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
|
Shipping and Handling |
SUB TOTAL |
|
|
$30.00 or Less
- Add $3.95 |
SHIPPING |
|
|
$30.01 to $50.00 - Add $5.75 |
IL RESIDENTS ONLY, Add 7.5% Sales Tax |
|
|
$50.01 to $100.00 - Add 10% |
TOTAL DUE |
|
|
$100.01 and up Add 8% |
|
|
| |
|
|
|
Check One: |
Visa |
MC |
AmEx |
Discover |
|
|
|
Acct # |
Exp. Date / |
Phone: |
| |
|
|
|
|
|
|
Please Make Check Payable To:
New Covenant Worship
|