Name __________________________________________________
Email __________________________________________________
Church _________________________________________________
$15.00 q Small q Medium q Large q X-Large q 2X-Large q 3X-Large Amount Enclosed $ ___________________
q Please charge my Visa / Master Card credit card $____________ plus $5.00 processing Fee
Total amount charged $__________________
Name on Card: _______________________________________ q Visa q Mastercard Credit Card #: ________________________ CVC #: (3 or 4 digit Security #) ____________ Exp. Date: _____________________ Billing Zip Code: ________________ EMAIL ORDER TO: [email protected]
T-Shirt Order Form
MAIL TO: Women’s Retreat RMR Church of God P O Box 631010 Littleton, CO 80163
PRE-‐ORDERS ONLY BY MARCH 26
