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ORDER FORM
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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: |
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| 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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