LOGO WEAR ORDER FORM

Please provide the following ordering information:

Please identify yourself:

First Name  Last Name

  Phone No.   Email

Please provide the following product information:

         Lunch Tote

          Choose one of the following logo options:

     Select Logo Cornerstone Logo Power Church Logo Rock Church Logo

          Choose one of the following color options:

     Select Color Red Navy Royal Forest

          Choose quantity:

     Select Quantity 1 2 3 4 5 6 7 8 9 10

Payment:
     Select Payment Option Personal Check Credit Card
    Credit Card (Please call 540-324-0705 to give CC information)
    Personal Check (Mail to: 1156 Tinkling Spring Road, Staunton, VA  24401)

** Orders will be placed upon receipt of payment


Additional Comments: