Internet Order Form

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Please send only this order form with check - Contact Office Manager with any problems or questions.

Phone: (706)657-8000 Fax: (706)657-5440 E-Mail: office @ silentword.org (remove spaces)  - WWW.SilentWordMinistries.org
Bill To: [ ]Church [ ]Personal -- Contact: ________
 
Name:  
E-Mail:  
Address:  
City:  
State:  
Zip:  
Phone:  
Ship To: [ ] Same Address as Billing   [ ] Other
 
Name:  
E-Mail:  
Address:  
City:  
State:  
Zip:  
Phone:  
Page No. / Item No. / Description

Price Each / How Many?

Total $
     
     
     
     
     
     
     
     
     
[ ] Please send me your bi-monthly "free" Silent Word newspaper. Total Cost of Products $

Postage & Handling Charges

Add $4 Orders up to $24

Add $6 Orders $25 - $49

Add $8 Orders $50 and up

 
Postage & Handling Charges

+

 $__________
Foreign Countries Add 20%

+

 $__________
Deduct Discounts - Minus

-

 $__________
Gift for SWM

+

 $__________
Total Order Payment Enclosed   $__________
[ ]OK Substitute Order with Similar Products
Please Allow 2-3 weeks for delivery - Foreign: Remit USA funds - actual shipping costs.
Discounts: Orders over $50 deduct 10% -- Orders over $100 deduct 20%
(Not valid on Sign Language Package 1 or 2)
(Order With Credit Cards Online Only - SilentWordMinistries.org)
Important: Please Return ONLY this Order Form with Check or Money Order.

Please make your check payable to Silent Word Ministries - Thank you for your order!