Adventist Reconciliation Services

Email: info@adventistreconciliation.org  
Phone: 360.546.2244
 
  Assisting others to restore relationships God's way  
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 Designed by:
 AuroraMarketing.com



 Address
 P.O. Box 194  
 Battle Ground, WA
 98604-0194  

  Order Form  


Type in the information you would like to order below



Date of Order: (m/d/y)

ORDERED BY:
Name:
Address:
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State:
Zip:
Phone:
Fax:
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BILL TO:
Bill to information same as Ordered by (Check if yes)
Name:
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SHIP TO:
Ship to information same as Ordered by (Check if yes)
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Item Letter
Item Title
Item Quantity
Unit Price
Total Price

Total of Items  
(If you live in Washington, add sales tax of 7.7%) -   -   -   -  Sales Tax Total  
(Shipping Charges to Left) -   -   -   -   -   -   -   -   -  Shipping Total  
Grand Total  
Item Total
$0-$4.00
$4.01-$20.00
$20.01-$30.00
$30.01-$45.00
$45.01-$60.00
$60.01-$75.00
$75.01-$100.00
$100.01-$200.00
$200.01 +
Shipping
$3.00
$5.75
$6.75
$7.75
$8.75
$9.75
$10.75
x 9%
x 7%
Make Payable to: "Adventist Reconciliation Services"

(Check or Money Order)