| (To
return to your shopping, simply close this window.) |
|
Living
Waters Publications
P.O. Box 1172 - Bellflower, CA 90706
1-800-437-1893
If
you prefer to order by mail, simply print this off, fill
it out,
and mail it to us along with your form of payment.
|
| YOUR
ORDER: (please print CLEARLY) |
| Item
# |
Name |
Quantity |
Price |
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| Subtotal: |
|
| California
residents add 8.25% tax: |
|
Shipping
(Continental USA):
10% of the subtotal, with a minimum of $3:
|
|
| TOTAL
(US$ only): |
|
| YOUR
INFORMATION: (please print CLEARLY) |
| Name: |
|
| Address: |
|
| City, State, Zip: |
|
| Telephone Number: |
|
IF
PAYING BY CREDIT CARD, FILL THIS SECTION OUT, IF NOT...
SIMPLY LEAVE IT BLANK:
(please print CLEARLY)
|
| SIGN
HERE: |
| By
signing this form, cardmember agrees to pay the TOTAL
above upon receipt of goods and/ or services listed according
to the obligations set forth by the Cardmember's Agreement with
the issuer. |
CLEARLY
PRINT your credit card numbers below...
|
|
|
|
|
|