Response-O-Matic Form

 

ORDER INFORMATION:
$3.00 for each 3" x 9" bookmark

State Sales Tax = 7 percent
(required to collect in state and out of state)

SHIPPING & HANDLING INFORMATION:
Flat rate $5.00 for all orders


PLEASE TYPE YOUR INFORMATION, PRINT FORM
AND MAIL TO ADDRESS BELOW
 

STEP 1: BILLING INFORMATION:

Name:

Address
(street, city, state, zipcode):

Telephone:

Email:

STEP 2: PROFILE ON BOOKMARK:


Name of Deceased:

Deceased date of birth:

Deceased date of death:

STEP 3: OBITUARY SOURCE


Newspaper Name:

Date Obituary Published:

City, State:

STEP 4: PRAYER/BIBLE VERSE OR GRAPHIC SELECTION:


STEP 5: IMAGES (Pictures)


Black-and-White picture is included at no extra cost

Color pictures are $5.00 additional

No Picture
 Will scan and E-mail
Will mail the picture


STEP 6: FINAL STEP

Special Instructions:

BE SURE YOU HAVE INCLUDED ALL NECESSARY TEXT

PLEASE MAIL PICTURE & TEXT INFORMATION TO:
Window To Christian Ministries
c/o Cathy Luders
1453 Golfview Dr. NE
Cedar Rapids, IA 52402



Thank you for your order.

 

God Bless You

























Window To Christian Ministries Copyright 2001
by Cathy Orrick Luders, Cedar Rapids, Iowa
All Rights Reserved