---

Billing Information
Items in pink are required.

Name:
Address:
Address 2:
City:	State:
Zip Code:	Country:
E-mail:
Phone Number:

I wish to pay via Check or Money Order or Cash
Checks and money orders (made out to Sarah Bryant) should be sent to our mailing address above.

If you are unable to donate at this time, we will consider sending your request.

---

Shipping Information

Ship order to my billing address (above)
Bill me (above) and ship order to this address:

Name:
Address:
Address 2:
City:	State:
Zip Code:	Country:
Messege (optional):	________________________________________ ________________________________________ ________________________________________ ________________________________________

---

Items To Be Shipped

Quantity	Item Description	Each Price	Total Price
BOOK or CALENDAR ORDER: Write title of Item
Shipping Add $1.00 for first book and $0.50 for additional copies; For calendar add $1.50
KBR MAGAZINE SUBSCRIPTION & SAMPLES: Write title of Item Desired ( One or Two-Year Subscription or Sample)
This is a renewal subscription I have already received a sample of KBR and am subscribing
KBR MAGAZINE BACK ISSUES: please be sure to specify which back issues you want to receive in the large box
	KBR Magazine All Back Issues
If ordering over ten back issues, back issues are $1.25/each.
		Other
	Shipping (if ordering books)
	Grand total:

---

How did you find out about our ministry? ______________________________________

Yes, I'd like to be added to your emailing list


All rights reserved ©2008 by The King's Blooming Rose Ministries