Order
Form
(Please print order form and order by mail)
Name
_______________________________________________
Address_______________________________________________________
City
________________ State
________
Zip_____________
Country ___________
Phone Number ____________________
Quantity: Description Price:
________/_______________________________________________________________ /______________
________/_______________________________________________________________ /______________
________/_______________________________________________________________ /______________
________/_______________________________________________________________ /______________
________/_______________________________________________________________ /______________
________/_______________________________________________________________ /______________
Total Merchandise Order:
____________
8.25% Texas Sales Tax (TX
Residents only)
____________
Shipping:
____________
Total Amount Enclosed
____________
Shipping
charges:
$35.00 or less
.............
$ 2.00
$35.01 to $50.00 .......
$ 3.00
$50.01 to $100.00......
$ 4.00
$100.00 and up ..........
Free US Postal Service
Outside USA Shipping:
Please add 10% to Total Order
Insurance:
Over $100.00, add $2.50
Make a note that you want
insurance.
Please send check or money order
to:
Dan Cutchen…Future Hope Ministries
7322 Blue Stem Road…Dallas, TX 75249
(972)
283-4446 e-mail: dancutchen@sbcglobal.net