Treat yourself to the listening experience of a lifetime:

"WE ARE ONE (In the Name of Jesus)"

by Christian country gospel singer
SANDY SAMPLES


A gift with a message of lasting value!


ORDER FORM
"We Are One"

Residents of the U.S.A., please use this form to order Sandy Samples' superlative Christian album, "We Are One (In the Name of Jesus)"


Please enter your full name

Please enter your complete mailing address

Country:
Postal Code:

Please enter your home telephone number, including area code

What is the best time to reach you at the above number?
Time
A.M. or P.M.

Cassette or CD-ROM

How many copies of We Are One would you like to order?
Please reserve copies of the We Are One CD-ROM
for me at the special introductory price of only $23.95 (Canadian funds; price includes 8% G.S.T., 7% P.S.T. (Ontario residents only), and $2.50 shipping and handling)
and/or
copies of the We Are One Cassette Tape
for me at the special introductory price of only $18.95 (Canadian funds; price includes 8% G.S.T., 7% P.S.T. (Ontario residents only), and $2.50 shipping and handling).

Payment Method:
International Money Order Personal Cheque VISA InterAc Debit Card.


Make cheques or money orders payable to:

Friends Caring and Sharing
Box 517
HARRISTON, ONTARIO
N0G 1Z0
CANADA
Telephone: 519-338-2824
Fax: 519-338-3360

Note: If you choose to pay by credit card, you will be contacted by telephone by a representative of Friends Caring and Sharing or of The CARING Place, to confirm details of your order and to request your credit card number. We do not like to rely on internet security for transactions of this nature.

If you would prefer not to give out credit card information over the telephone, please feel free to print off this form, complete it and the credit card information listed below, and fax it to Friends Caring and Sharing at 519-338-3360.


Additional Information Required for Payment by Credit Card (Fax Option):

VISA Credit Card Number ______________________________ Visa Cards (only) accepted at the present time

Name as it appears on card ____________________________________

Expiry Date __________________________

Signature of Cardholder ________________________________________

Please allow four weeks for delivery (six weeks if paying by cheque).


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If you have trouble using this form, please e-mail your request to dhowie@wcl.on.ca.
Copyright 1998 Doris E. Howie
Created April 20, 1998