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Simply print and fill out this form and fax it to: 704-596-7674 Or Mail to: Jeff Godwin P.O. Box 23123 Charlotte, NC 28227-0272 704-455-5180 |
| I Didn't See Jesus©CD | Qty ________________ X $14.95 | ________________ | |
| I Didn't See Jesus©Cassette | Qty ________________ X $7.95 | ________________ | |
| Angel's Prayer©CD | Qty ________________ X $14.95 | ________________ | |
| Shipping / Handling $5.00 each = | ________________ | ||
| Grand Total = | ________________ | ||
| Payment Information | |||
| First Name | ____________________ | Name on Card | ____________________ |
| Last Name | ____________________ | Card Type | ____________________ |
| Street | ____________________ | Card Number | ____________________ |
| Suite | ____________________ | Expiration Date | ____________________ |
| City | ____________________ | State | ____________________ |
| Zip | ____________________ | ||
| Signature | _______________________________________________________ | ||
| Make Check or Money Order to: Jeff Godwin | |||
| Shipping Information | |||
| First Name | ____________________ | Same as Billing? | _______ |
| Last Name | ____________________ | ||
| Street | ____________________ | ||
| Suite | ____________________ | ||
| City | ____________________ | ||
| Zip | ____________________ | ||
| I invite your comments and feedback.Thank You! | |||