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Name                                                                            

Ship To Address                                   

City                                                     State                       Zip Code                                                                           

Phone (optional)                      E-Mail Address (optional)                                                                            

Order Date                                                                                                                  

  Item # and Name                                      # of copies               Price                Total                                                                          

Select from the dropdown box bel o                                          S/H           

                                                                                                                       

                                               Total                        

Total Purchase

S/H Amount

$5

$1

$10 and more

$2

Tape Series

$4 each


Thank you for your order

Media Ministry

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