Billing Information
Items in pink are required.

Name:
Address:
Address 2:
City:	State:
Zip Code:	Country:
E-mail:
Phone Number:

____ I wish to pay via Check (Only for US orders)
____ I wish to pay via Money Order (Only for US orders)
____ I wish to pay via Cash (US funds)

USA Orders: Checks and money orders must be made payable to Sarah Bryant - we cannot accept checks made to The King's Blooming Rose. Include payment with this order form.

CANADIAN/FOREIGN ORDERS: We CANNOT accept Canadian checks. Please only send US cash with your order. You can also email us and request a paypal invoice.

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Shipping Information

____ Ship order to my billing address (above)
or
____ Bill me (above) and ship order to this address:

Name:
Address:
Address 2:
City:	State:
Zip Code:	Country:
Messege (optional):	________________________________________ ________________________________________ ________________________________________ ________________________________________

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Items To Be Shipped

Quantity	Item Description	Each Price	Total Price
		Total:
	Book Shipping Rates (Magazine Prices Include Shipping) USA Shipping: $0.01-15.00.......add $3.50 $15.01-35.00.......add $5.50 $35.01-75.00.......add $7.50 over $75.01.......add $12.00 Foreign Shipping: $0.01-15.00.......add $12.00 $15.01-35.00.......add $30.00 $35.01-75.00.......add $58.00 over $75.01.......add $86.00
	Grand Total:

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How did you find out about KBR Ministries? ______________________________________

I am including _________ cash, ________ check, or ________money order.

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