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:

WOW Tote

Choose one of the following options:

  Choose Logo WOW Circles Logo WOW Crown Logo Cornerstone Church Logo

Choose one of the following options:

  Choose Color Flamingo Chocolate

          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: