Order Form
| Name | |
| Address | |
| City | ST Zip |
| Phone No. | |
| Order Item | Qty |
Price |
Amount |
| The Marriage Makers book | $14.99 | ||
| Mighty Men of God | $14.99 | ||
| Hombres Poderosos de Dios | $9.99 | ||
| Conference CD Set | $45.00 | ||
| Conference Workbook | $5.00 | ||
| Expressions of Respect | $10.00 | ||
| Pure Love CD | $15.00 | ||
| Shipping: $4 for first $35 of product, plus $1 for each additional $35 or portion |  |
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| Total Order | |
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Payment by
____ check or money order (payable to Marriage
Makers)
____ credit card (see below)
| Card No. | |
| Expiration | Circle: Visa MC Disc AmEx |
| Signature | |
| Mail to | Marriage Makers Box 70 Orlando, FL 32802 1-800-494-HOPE (4673) Fax 407-909-0808 |
| Office Use Only | Date Confirmation |