N' Him We Move DVD Order Form
Please print or type the requested information. Name __________________________________________________________________________ Address ________________________________________________________________________ Address (con.) ___________________________________________________________________ City ___________________________ State ________ Zip _______________________ Phone Number _____________________ Email Address _____________________________________ Church Name ___________________________________________________________________
“Dancistry!” DVD _______ x $23.00 = $ _________ # of copies Subtotal “Dance Leadership 101” DVD _______ x $18.00 = $ _________ # of copies Subtotal Combo DVD Set _______ x $38.00 = $ _________ # of sets Subtotal DVD Shipping Cost is $2.95 for the 1^st item and $0.95 for each additional. 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 Huntsville, AL (no shipping fee) Total Amount Enclosed $ _______ Mail your check or money order to: N' Him, PO Box 3484 Huntsville, AL 35810 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 info@n-him.org.
For Office Use Only
Method of payment: q Check #:___________ q Money Order #: __________________ Date Received: __________ Amount Paid: __________ Received and Verified by: __________