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			ORDER FORM
			 
			
				
					
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						 Item#   | 
						Description of Item
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						| Subtotal:  | 
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						| S&H (Call 609-871-6652 for rates via DHL Ground):  | 
						 
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						| For Express Shipping call for pricing: | 
						  | 
					 
					
						| New Jersey Res.
						add 7.0% Tax:  | 
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						| Grand
						Total:  | 
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			Ship To: 
			
			 
			
			
			Name:___________________________ 
			
			 
			
			
			Address:___________________________________ 
			 
			
			City:_______________________ 
			 
			
			 State:_________________Zip:________
			 
			
			Phone:___________________________  
			 
			
			Email Address: ________________________________
			 
			
			Bill To (if paying by credit card, this must match the credit card billing address): 
			
			 
			
			
			Name:___________________________ 
			
			 
			
			
			Address:___________________________________ 
			 
			
			City:_______________________  
			 
			
			State:_________________Zip:________
			 
			
			Phone:___________________________
			 
			
			Email Address: ________________________________
			 
			
			 
			 
			
			 
			 
			
			CREDIT CARD AUTHORIZATION: 
			 
			
			
			[__] Visa [__] MasterCard [__] Discover [__] American Express 
			
			 
			
			Card Number: ____________________________  
			 
			
			CVV Code: ______________ 
			
			 
			
			
			Card Holders Name as it appears on the card: ______________________________________ 
			
			 
			
			
			Expiration Date: ____________ 
			
			 
			
			
			Card Holders Signature: ____________________________________________ 
			 
			
			Please send Certified Checks or Money Orders, payable in U.S. Funds to: 
			 
			
			Christianware Online 
			
			PO Box 204 
			
			Beverly, NJ  08010
			 
			
			 
			 
			
			When paying with a Money Order or Certified Check, please allow time for funds to be deposited and cleared. 
			 
			You will be notified immediately via email or phone after this has taken place.
			
			 
			
			
			
			 
						
			
						You may call (609) 871-6652 to order or if you have any questions.
			 
			
			You may fax your order to (609) 871-4160.
			 
			
			 
			 
			
			
			
			 
						
			
						Visit our website to view a fabulous selection of Christian products such as  Angel and Cherub Figurines, Crosses, and more: www.ChristianwareOnline.com
			
			 
			
			(Print and complete this form for all telephone and mail-in-orders)
			
			 
			
			
			
			 
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