FAITHCENTEREDRESOURCES.COM

FCR® Order Form



        Date____________ Please print or type. Cashier's Check, Money Order (No Personal Checks)                                                             Or enter credit-debit card info at bottom of form Email form ( with Credit / Debit card info )
orders@faithcenteredresources.com

Fax form ( with credit / debit card info )
503-763-0125

Mail to ( with payment - money order or cashier's check )
Faith Centered Resources, 4937 Saddle Horn Ct. S.E., Salem, OR 97317 USA 
 
ORDER ITEMS 
Please enter prices in  U.S. dollars
Name of book, tape, 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 7% of product cost. Example cost is $25.00 x .07 = $1.75 $
#17.  TOTAL.  Add lines 13, 14, 15 & 16 enter on line #17 $

IMPORTANT !! CANNOT PROCESS ORDER WITHOUT FCR NAME/ ADDRESS FORM BELOW
Please complete and include the bottom NAME / SHIPPING ADDRESS form with your order
Very Important: Need a phone number so we can contact you, and an email address if you have email.

*Uset this Postage Rates Chart for postage
       Product Cost Total *Delivery cost * Note: Delivery time
Domestic 1-3 wks 
International 2-4 weeks.
Up to $15.99 $6.95
$16.00 - $49.99 $8.95

 

$50.00 - $99.99 $9.95
$100.00 - $199.99 $12.95
$200 - $499.00 $14.95 









FCR NAME / ADDRESS FORM 
YOUR NAME & SHIPPING ADDRESS 


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

Name  ____________________________________________________________________________________
Address  __________________________________________________________________________________
City____________________________________ State____________________________ Zip _______________
Phone Home (             )_________________________  Work or Cell (              ) _________________________________
CREDIT CARD INFORMATION
All Fax Sales are Credit Card Only - please enter information here
( Fax # - 503-763-0125 ) 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__________________________________________________