Order Form - Mission to Israel

MISSION TO ISRAEL
P.O. Box 248, Scottsbluff, Nebraska 69363

Order Form
Print out this form on your printer, fill it out ( PLEASE PRINT! ) and send in.

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

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

$

Total: $

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

Freewill Offering: $

Total enclosed (U.S. Funds): $