Has church ordered previously? Select Yes No   Order Date      Date Needed

Person Ordering       Position

Church Phone   ext.    Church Fax

Day Phone  ext. Is that # Select work home ?

E-mail address 

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

Church Name  

Church Delivery Address (include street, city, state & zip)

Church Billing Address if different (include street, city, state & zip)

Ship to if different than Church: Select work home (include street, city, state & zip)

Method of Payment (Check one):

         Select Church Purchase Order Bill to Church Sent Check Church Credit Card Personal Credit Card

        Please indicate in the box below:

    *If ordering by Church Purchase Order indicate Church Purchase Order Number;

    *If ordering by Check indicate Check Number;

    *If ordering by Church Credit Card indicate Type of Card, Card Number & Expiration Date;

    *If ordering by Personal Credit Card indicate Name on Card, Type of Card, Card Number, Expiration Date,

Daytime Phone of Cardholder, Street Address & Zip only.

Tax Exempt #

   1)    Color:   Select Orange Pink Light Blue Red White Bright Blue Green (choose more than one by holding down control & highlighting selections)

    2)    Quantity:  (if more than one color choice please specify quantity for each)

    3

    5) If you are ordering additional items please use the spaces below:

    7)    Shipping Charges as indicated below:  

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

$1-$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

Please Note: If you are ordering two or more stock items EX: Kiddie Keepers and Stock Diaper Bag Tags add one shipping charge to the total order.  Stock shipments are totaled and shipped together from our office.

    8)    Total Purchase Amount:

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

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