FAITHCENTEREDRESOURCES.COM
Authorized Retailer 100+ Ministries, Authors & Christian Companies

Mail & Fax Order Form



Today's Date___________________ Please print or type this form.
Mail form ( with Cashier's Check, Money Order - No Personal Checks please )
                   Or enter your credit-debit card info at the bottom of this form


( Very Important - International Customers ! Make sure M.O. or check is in U.S. Dollars )


Telephone :   480-478-4001 ( 24 hour messaging )
Telephone or Email for street address to send Order to.
Allow 24-48 hours for response please.
Email form ( with Credit / Debit card info ) to: orders@faithcenteredresources.com
Fax form ( with credit / debit card info ) to 480-585-9609
YOUR NAME / ADDRESS INFO

Very Important :    Need phone number so we can contact you, and an email address if you have email.
                                  If Shipping to Another Name / Address Complete Ship-to section

Please Print Clearly


Name ____________________________________________________________________________________
Address  __________________________________________________________________________________
City____________________________________ State____________________________ Zip _______________
Phone Home (             )_________________________ Work or Cell (              ) _________________________________ 
Email Address ( very helpful if you have one ) __________________________________________________________

SHIP TO NAME / ADDRESS ( Can leave blank if the same as above ) Name ____________________________________________________________________________________
Address  __________________________________________________________________________________
City____________________________________ State____________________________ Zip _______________
Phone Home (             )_________________________  Work or Cell (              ) _________________________________ 



ORDER ITEMS Please enter prices in U.S. dollars
Name of book, tape, CD, DVD, movie, product etc.                                                                  
Product ID#
from shopping
cart
Price / each
Quantity
Total 
Cost of
Product
#1 $
#2 $
#3 $
#4 $
#5 $
#6 $
#7 $
#8 $
#9 $
#10 $
#12 $
#13.  Sub Total ( Cost of Product ) $
#14.  *Postage Charges ( Use Postage Chart below ) add postage on this line $
#15.  Handling $1.50
#16.  Sales Tax ( Arizona residents ONLY ) - add 9% of product cost. Example: product cost is $25.00 x .09 = $2.25 $
#17.  TOTAL.  Add lines 13, 14, 15 & 16 enter on line #17 $
**Use this Postage Rates Chart for postage for Domestic orders
( International we will calculate and contact you )
Product Cost Total *Delivery cost * Note: Delivery time
Domestic 1-3 wks
International 2-4 weeks.
Up to $15.99 $7.95
$16.00 - $49.99 $8.95

$50.00 - $99.99 $9.95
$100.00 - $199.99 $12.95
$200 - $499.00 $14.95
CREDIT CARD INFORMATION

All Fax Sales are Credit Card Only - please enter information here
( Fax # - 480-585-9609 ) 24 hours
Card Type
___MasterCard___VISA___Discover___American Express
Card# _________ - __________ - ___________ - _________Exp. Date______ - ________
CVV2 ( Security Code ) __________
3 numbers off the back of the card in the signature area for Visa, MC, Disc
4 numbers off the front for AMX cards
Name as it appears on the card________________________________
Credit card statement sent to address listed above ??
( yes )_____( no )_____
Signature__________________________________________________