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CHILDREN'S INDUCTIVE BIBLE STUDIES
Last updated 8/26/03
PO BOX 720567 PH:
(405)728-0290
OKLAHOMA CITY, OK 73172-0567
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O
R D E R F O R M
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BILL TO INFORMATION
NAME: _______________________________ PH: ( )____-______
ADDRESS: _______________________________
CITY: ____________________ ST: ____ ZIP:
________________
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SHIP TO INFORMATION (Check if same as above) _____
NAME: _______________________________ PH: (
)____-______
ADDRESS: _______________________________
CITY: ____________________ ST: ____ ZIP:
________________
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PRODUCT DESCRIPTION |QTY
| PRICE | EXT
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-----------------------------------------|----|-------|----------
-----------------------------------------|----|-------|----------
-----------------------------------------|----|-------|----------
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Workbook Qty Disc |Shipping & Handling | SUB
TOTAL |__________
3-4 Workbooks = 10% |0 - $60.00 = $6.00 | QTY DISC |__________
5-7 Workbooks = 15% |$61.00 - Up = 10% | S &
H |__________
8+ Workbooks = 20% | of Subtotal |
TAX |__________
-----------------------------------------| TOTAL
|__________
TAX (Oklahoma Resident 8.375%)
Make Checks Payable to: CIBS
METHOD
OF PAYMENT (Circle one)
Cash Check Money Order Credit Card:
Visa Master Card
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CREDIT CARD INFORMATION
NAME ON CREDIT CARD: __________________________________
CARD #: |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__|
EXP DATE: ____/____ Signature: ______________________________