ORDER FORM
| Name: |
_________________________________________________________ |
| Address: |
_________________________________________________________ |
| City, State Zip: |
_________________________________________________________ |
| E-Mail: |
_________________________________________________________ |
| ITEM DESCRIPTION |
# OF
UNITS |
UNIT
PRICE |
SUB
TOTAL |
| Ends - DVD |
1 |
10.00 |
10.00 |
| Subtotal |
10.00 |
| Shipping/Handling |
13.00 |
| TOTAL |
23.00 |
Make check or US money order
payable to:
“Alexander Simpson”
and mail your order to:
Deception In The Church
P.O. Box 1043
Wadesboro, NC 28170
|
IMPORTANT NOTE!
Please do NOT send credit card orders via this mail
form.
If you wish to use a credit card please use the PayPal
logo next to
the item
you wish to order online.
Thank you!
|
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