Order Form

Print out this form and mail it along with your check or money order to:

Testify
101 Creole Lane
West Monroe, LA 71291
318-537-9030

For VISA or Master Card orders call 318-537-9030 (Or fill out credit card information below)

CDs	Price	Quantity	Amount
Songs We Love	$15.00
Greatest Hits	$15.00
Shine On Us	$15.00
A Night Of Southern Gospel (LIVE)	$15.00
4 Disc Special Buy Three Get One Free Songs We Love, Greatest Hits, Shine On Us, Night Of Southern Gospel	$45.00
Videos


T-Shirts Youth Small though X-Large and Adult Small through X-Large		Size/Quantity
Farewell Testify T-SHIRT Black	$15.00

POSTAGE: ($6:00 per order up to $29.00; $7:00 per order $30.00 and over)
Total Amount Due:

Payment Options:

Circle One:

(VISA) (Master Card)
(CHECK ENCLOSED) (MONEY ORDER ENCLOSED)

Name:

Address:

City:

State:

Zip:

Telephone:

E-Mail:

Credit Card Account Number:

Expiration Date: Month Year 3 Digit V Code

Last Three Numbers on Back of Card

Signature:

Office Use:

Date Received:

Date Mailed: