Print this ORDER FORM on Your Printer.  Use it to Request the Items You Wish!
Send This Form and Appropriate Payment to:
The Farnum Family
P.O. Box 355
Galena, Missouri  65656
For Our Use Only

Date Received: ____________________

Date Shipped:______________________

Date:_____________

Name:_________________________________________________________

Address:_______________________________________________________

City:________________________ State:________ P/C:________________

E-mail:______________________________

Home:______________________________

Work:______________________________

TITLE / ITEMQuantityOffering TOTAL
     
     
     
     
     
     
     
     
     
     
     
     
    

10% (20% Foreign) Suggested for Postage/Handling ($2 minimum, please)

   

Payment information:

[  ] Cash Enclosed [  ] Check / Money Order Enclosed ~ Made out to the Farnum Family.

[  ] To help your family music ministry, an Additional Offering of $_______ is included.

We appreciate your support and prayers, and hope you are blessed by our music and other resources. Thank You!
GRAND TOTAL$______________

HOME