ORDER FORM
(Print & Mail)

DATE:____________________________

TO:
FOUNDATION CHURCH OF THE NEW BIRTH
P.O. Box 6
Williamsville, N.Y. 14231, U.S.A.

Please send the following publications:

PRICE
(Postage and Handling are Included)

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TOTAL______________________
(Please remit in U.S. dollars--Thank You!)

____ Yes, send me free pamphlet.

Satisfaction Guaranteed.

Mail to me at the following address:

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METHOD OF PAYMENT

I enclose: --Personal check:_____ Money Order:_____ (Sorry, no C.O.D.'s)
OR: (Check One) VISA ; MASTERCARD ; DISCOVER

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CARD NUMBER -- Please list ALL numbers on card.
Expiration Date:________________________________
Signature:_____________________________________