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Pay By Check Mail-In Order Form
Please Print Form. Fill Out Completely in Blue or Black Ink
1. Shipping Information
Name _____________________________________________
Name of Recipient (if different from name above)____________________________________
Ship to Street Address:________________________________________________________
City____________________________State___________ Zip Code____________________
Phone # ________________________________
2. Order Selection
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Item
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Qty
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Price
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Total
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Freedom, VHS
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15.00
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Freedom, DVD
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15.00
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What's a Parent to Do, 2 CD Set
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12.00
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The Prison of Perfectionism, CD
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8.00
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Hymns of Praise, CD
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10.00
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Shout it to the Streets, Tape
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5.00
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Hidden Treasures, Tape
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5.00
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Subtotal =
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Shipping and Handling, Subtotal x 15 %
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Ministry Donation +
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Grand Total =
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3. Please Make Check Payable to AKC Ministries, Inc.
Check Amount (from Grand Total above) $____________ Check # _____________
4. Mail Completely Filled Out Form and Signed Check to:
AKC Ministries, Inc.
328 Meeting St.
Charleston, SC 29403
5. Please Keep a Copy of this Form For Your Records.
You will receive your order in approximately 2-4 weeks. If you have questions regarding your order please contact AKC Ministries by e-mail at service@akcministries.org or through the contact page at www.starvingsoul.org.
Thank You For Your Order
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