ORDER FORM
Name: _________________________________________________________
Address: _________________________________________________________
City, State Zip: _________________________________________________________
E-Mail: _________________________________________________________

 
ITEM DESCRIPTION  # OF 
UNITS 
UNIT 
PRICE 
SUB
TOTAL
"Living Water 2003 - 3-DVD Set - Non US 1 20.00 20.00

 
Subtotal  20.00 
Shipping/Handling 13.00
TOTAL 33.00

 
Make check or US money order payable to:
“Alexander Simpson”

and mail your order to:
Deception In The Church
P.O. Box 1759
Pearl City, HI 96782

IMPORTANT NOTE!
Please do NOT send credit card orders via this mail form.
If you wish to use a credit card please use the PayPal logo next to the item 
you wish to order online.
Thank you!


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