Air Head ;Ministries ;Order ;Form

ORDERING ;INSTRUCTIONS:

ITEMS ORDERED:

For Fast and Easy Ordering by Phone:
	Toll Free Order Line (888) 555-5556

To Order by MAIL or FAX:
1. Print out (see printing tips) this order form. 2. After printing, complete the order form. 3. Mail the order form with U.S. currency to:

Air Head ;MINISTRIES

P.O. Box 459890870217653897487638719872634 Dusty, CA 95042
- OR - If you are paying by Credit Card, you may FAX your order form to: (888) 555-5559

Please specify manuscript and radio tape numbers. Abbreviate lengthy titles if needed.
Qty	Item Description	Unit.Price	Total.Price
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ITEMS ;SUBTOTAL			;
Califronia Residents add 7.5% sales tax			;
Postage & Handling (look up rates)			;
Optional Rush ;Order $5.00 (in addition to postage & handling)			;
ORDER ;SUBTOTAL			;
Donation to Air Head Ministries			;
TOTAL			;

CREDIT ;CARD ;INFORMATION:

Charge to My (circle one)

Card Number:

Exp. Date:

Signature:

Name as it appears on Credit Card:
.

SHIP ;TO ;INFORMATION:

Please Print All Information Clearly
Name:
Address: .
City:
State:	Zip:
Phone: ( ; ; ; ; ; ; ;)

Thank You for Your Order!