Order Form

Order Form

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ORDER FORM

For

The Holy Name Bible

Make checks payable to: Yahshua Promotions

P.O. Box 395

Ronceverte, WV 24970

Customer Name ______________________________________________________

Delivery Address _____________________________________________________

City ______________________________ State _______ Zip __________________

Contact Name(s) _____________________________________________________

Phone __________________ E-mail _______________________________________

# Bibles ______ x $35.00 each (Quantities of 1-5) = $_________________

# Bibles ______ x $30.00 each (Quantities of 6-19) = $________________

# Lots of 20 Bibles _________ x $550.00 per lot = $____________________

Check #_____________________ TOTAL $_______________________

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