Wings of Worship Order /Registration Form 2006.01

This form may be used to mail or fax orders for products, registration, or make donations (product name = DONATION). When using e-mail DO NOT submit charge card information. We will call you to obtain that information. (e-mail is not a secure form of electronic transmission)

Please provide the following contact information:

First Name		Last Name
Organization
Street Address		Address (cont.)
City		State/Province
Zip/Postal Code		Country
Home Phone		FAX
E-mail

Please provide the following product information:

Quantity	Product Name	Code	Unit Price	Extended Price





			SUB TOTAL
	Tax - 7% in Ohio		TAX
	Shipping & Handling - See Table		S&H
CHECK	FOR ORDER CONFIRMATION		TOTAL =>
CARD TYPE	CHARGE CARD NUMBER with 3-4 digit security code	EXP. DATE	NAME ON CARD =>
	(code)		SIGNATURE =>

Product Order Form
Copyright © 2006 - Wings of Worship International Ministry - All rights reserved.
Revised: August 30, 2006

Wings of Worship Order /Registration Form 2006.01

Product Order FormCopyright © 2006 - Wings of Worship International Ministry - All rights reserved. Revised: August 30, 2006

Product Order Form
Copyright © 2006 - Wings of Worship International Ministry - All rights reserved.
Revised: August 30, 2006