FAITHCENTEREDRESOURCES.COM
Authorized Retailer 65+ Ministries, Authors & Christian Companies

Mail & Fax Order Form
Please print or type this form



Today's Date___________________
Telephone :   480-585-9608 Tues - Fri 9 am - 3 pm.
                         or 480-478-4001 ( 24 hour messaging )

     Allow 1 - 72 hours for response please.

1.  Mail form:  Telephone to obtain the city & street address to send this form.

2.  Email form to:  orders@faithcenteredresources.com

3.  Fax Form:  Call to obtain the fax telephone number please


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 $
#13.  Sub Total ( Cost of Product )   $
#14.  *Postage Charges ( Use Postage Chart below ) add postage here   $
#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 here   $
**Use this Postage Rates Chart for postage for Domestic orders
( International when you contact we will calculate )
Product Cost Total *Delivery cost * Note: Typical Delivery time
USA 1-2 wks
International 2-3 weeks.
Up to $29.99 $7.95
$30.00 - $49.99 $8.95

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

Note:  All Fax Sales are Credit Card Only

Card Type - Put an 'X' in the box

_____MasterCard_____VISA_____Discover_____American Express

Card # _____________ - _____________ - ______________ - _____________

Exp. Date_______ - _________

CVV2 ( Security Code ) __________
    3 numbers from back of card near signature area for Visa, MC, Disc

Name as it appears on the card

__________________________________________

Credit card statement sent to address listed above ??
( yes )_________( no )_________

Signature__________________________________________________