Please print this order form, fill it out and mail it, along with payment, to our address at the bottom of this form. You can also order by phone or fax.

Note: When ordering the printed "Gratefully Grafted Newsletter", be sure to include it in the total at the bottom of the page. ($10.00 USD)

Name ________________________________________________________

Address ______________________________________________________

City _________________________________ State/Province ____________

Zip Code (or postal code) _________________________________________

Country, if other than U.S. ________________________________________

Phone ________________________________________________________

E-mail: _______________________________________________________

____ I am a pastor/elder/deacon/prayer group leader
____ I would like to receive the Prayer Alert via e-mail

*All Prices subject to change

Add $5.00 for priority US delivery for orders under $50.00. * Contact our office for pricing on International orders. Please allow 4-6 weeks for International delivery.
Contact us for pricing on International Air Mail (7-10 day delivery).

Payment information: You may pay by check, Money Order, or use your Visa or Mastercard.

Fill in below only if you are going to FAX or MAIL us your order.

VISA or MasterCard #______________________________Exp.____/____

Name on Credit Card Account___________________________________________

Mail your order with check/money order or credit card information to:

Print this order form with Adobe Reader

(Foreign orders, please consider the exchange rate to $US dollars)