Order Form - Mission to Israel

MISSION TO ISRAEL
PO Box 248, Scottsbluff, Nebraska 69363

Order Form
Print this form, fill it out ( PLEASE PRINT! ) and mail to the address above.

Date:________________
Name:____________________________________________________
Address:__________________________________________________
City, State, Zip:_____________________________________________
Phone Number (Optional): (______)_________________
Email Address (Optional): ____________________________________

Please place my name on Mission to Israel Ministries’ free Audio Tape Lending Library mailing list.
Please place my name on Mission to Israel Ministries’ free Audio CD Lending Library mailing list.
Item
Number Quantity
Ordered Brief Description Donation

$

Total: $

Postage & Handling=10%
($1.00 minimum): $

Freewill Offering: $

Total enclosed (U.S. Funds): $

Home | Site Map | Contact | Order Form

Item Number	Quantity Ordered	Brief Description	Donation
			$













Total:			$
Postage & Handling=10% ($1.00 minimum):			$
Freewill Offering:			$
Total enclosed (U.S. Funds):			$