P.O. Box 1897 * Kennesaw, GA  30156

(Delivery) 5919 Lake Acworth Drive * Acworth, GA  30101

E-mail: nls@nlsspecialties.com * www.NLSSpecialties.com

(770) 422-7867    * Voice Mail (770) 529-6242    * Fax (770) 421-9473    *Fax (770) 529-3055

Fill in this order form for all orders.  Use black ink if faxing.

Has church ordered previously?  yes ____ no____   Order Date  _______________   Date Needed _______________

Person Ordering  ______________________________________________   Position _______________________

Church Phone  __________________________________ext._______      Church Fax ________________________

Day Phone _______________________________________ext.________    Is that # Work _____ or Home_____?

E-mail address  ________________________________________________

We need Church information before processing any order.  We prefer shipping to the Church.

Church Name  _______________________________________________________________________________

Church Delivery Address 

       Street Address   __________________________________________________________________________

        City  _____________________________________     State  _____________________     Zip ________

Church Billing Address if different 

       Street Address   __________________________________________________________________________

        City  _____________________________________     State  _____________________     Zip ________

Ship to if different than Church: Home  _____ or  Work  _____   

        Street Address   __________________________________________________________________________

        City  _____________________________________     State  _____________________     Zip ________

Method of Payment (Check one):

    ___Church Purchase Order # _________                ___Sent Check # ___________                ___Bill to Church   

 

     ___Charge Credit Card      ___  Personal          or              ___  Church

                                                   ___  Visa                 or              ___  Mastercard

    Card#  _________________________________________            Exp Date _________________

    If Personal Credit Card used,  give name of Person on Credit Card    _____________________________________

    DAYTIME phone # of person on Credit Card    ____________________________________________________

    Billing address for Credit Card holder Authorization    Street # __________________________   Zip ___________

Tax Exempt #  _____________________________

 

If you are ordering two or more stock items EX: Kiddie Keepers and Stock Diaper Bag Tags then add one shipping charge to the total order. 

Stock shipments are totaled and shipped together from our office.

Order Form

Item

Imprint

Item Color

Quantity

$ Each

$ Total

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Sales Tax * (GA Customers) on products only    County ____________Tax% ____________

GA Sales Tax

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Stock SHIPPING SCHEDULE: General Shipping for items shipped from our in-stock products.

 

$0-25 =$7.50   $26-50 =$8.00   $51-100 =$8.50   $101-150 =$9.50   $151-200 =$10.50

 

Add $1 for every $50 over $200 (Some items may be more / EX. mugs, squeeze bottles, etc.)

Add approximately $10 for UPS 3 day select / $15 for UPS blue 2 day service

/ $20 for UPS red standard overnight (if heavy more will be added).

SHIPPING

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TOTAL 

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We consider it a blessing to be a part of your ministry!!!

Jamie Cardell, Pam Reeves, Christy Godfrey, Deanna Burkhardt and Joy Carlisle