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 #

Security Cards:    This is a 3 3/8" x 2 1/8" size vinyl card with five write-in panels on the back. The panels on the back can be used for parents name, children's names or any important information.  These are given to the parent or person responsible for the child.  For this to be truly effective no one may take the child unless they show the card.

Ordering Options:   

                             Stock Cards- * No minimum * $0.50 each

Make your selection

Teal Imprint / Boy & Girl Quantity:@ $0.50 each	Pink / Silhouette Quantity:@ $0.50 each	Blue/ Silhouette Quantity:@ $0.50 each
The bottom of each card reads "If found please return to Church Preschool Ministry".  It also list how to order more security cards from NLS Specialties. Total $:

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

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

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