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N' Him We Move DVD Order Form |
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Please print or type the requested information. Name __________________________________________________________________________ Address
________________________________________________________________________ Address (con.) ___________________________________________________________________ City ___________________________ State _________ Zip
_______________________ Phone Number ___________________ Email Address _______________________________________ Church Name ___________________________________________________________________ |
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“Dance Leadership 101”
DVD _______ x
$18.00 = $ _________ # of copies Subtotal DVD Shipping Cost is $2.95 for the 1st DVD and $0.95 for each additional.(For example shipping for 3 DVDs is $2.95 + $0.95 + $0.95 = $4.85) q Please mail my video(s) to the address
above $ ________ (Please
add shipping cost for each item) Shipping
Fee q I will pick up my video(s) at Word of
Truth in Total Amount Enclosed $ _______ Mail your check or money order to: N' Him, For credit card payment, please visit our website
at www.n-him.org Questions? Contact us by phone at 256-604-0777 or
email at |
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For Office Use Only |
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Method of payment: q
Check #:___________ q
Money Order #: __________________ Date Received: __________ Amount Paid: __________ Received
and Verified by: __________
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