Youth Group Promotions

Please use the TAB key to move between fields not the ENTER key.
Click the SUBMIT ORDER button when all data is entered.
Blue indicates required field.

Organization Information

Church / School Name
PO Box
Zip
Physical Address
City
State
Zip
Main Phone Number
Name of Sr. Pastor or Principal
Name of Group Selling
Number of Sellers
Organization Type

Billing

Your Purchase Order Number
Billing Contact Person
Billing Contact Person's Title
PO Box or Mailing Address
City
State
Zip
Home Phone Number
Work Phone Number
Billing Location is
Copy to shipping

Shipping

Shipping Contact Person
Shipping Contact Person's Title
Shipping Location Name
Physical Address (No PO Boxes)
City
State
Zip
Home Phone Number
Work Phone Number
Shipping Location is

Ordering Information

Please indicate the number of CARTONS (25 items per carton) next to the product(s) you wish to order:

cartons - Wall Calendar - NIV (New International Version) - ($75 per carton)
cartons - Wall Calendar - KJV (King James Version) - ($75 per carton)
cartons - Greeting Card Set - Edition H (KJV only) - ($75 per carton)
cartons - Greeting Card Set - Variety Carton (KJV only) - ($75 per carton)
cartons - Christmas Card Set - Edition 3 (KJV only) - ($75 per carton)
cartons - Pocket Calendar (KJV only) - ($75 per carton)
cartons - Magnetic Notepads - Variety Carton (KJV only) - ($50 per carton)
cartons - Notepads - Variety Carton (KJV only) - ($25 per carton)
cartons - Pocket Calendar Refill Notepad (KJV only) - ($25 per carton)
Have you ordered in the past?
When?
Customer ID or recent invoice # (if known)
E-mail address for UPS notification
How did you hear about us?
Comments

Please verify that all information is correct.
Missing or incorrect information will delay your order.
After clicking on Submit, you should see an order confirmation page.

Privacy Policy: We will not sell, rent or give any of the information you provide to anyone. We will only use your information to ship your order, to contact you about your bill (if necessary) and to send you a free sample next year.

Click here to view a printable Adobe PDF order form

Note: Requires Adobe Acrobat Reader