CVM Center Order Form


If you are interested in ordering videos & audio cassettes, please fill out this form.

Please provide the following contact information. If you want to have it shipped to a different address, fill in the shipping information also.

Full Name
Address
City, State, Zip
Ship to
Shipping Address
City, State, Zip
Phone

Fill in the items you would like to order:

Video or Cassette Title Qty Price

Total Amount Due

Check No.
(for your records)

Please print this order form after you fill it out. This will be your record. Sorry, we are not set up with MasterCard / Visa yet. Send a copy of this order form with your payment in full for the Total Amount Due. We accept personal checks and money orders which can be made out to:

Christian Vision Ministries
1831 Pitts Rd.
Richmond, TX 77469

PH# (832) 595-2745
Email: idrcer12@cs.com 
  

If you need prayer for anything, please type it in the space below. We will lift your needs up to the Lord.


If you have any other comments, please write them down here.



Email us at idrcer12@cs.com
Copyright © 1999-2005 [His Praise Maui!]. All rights reserved.
Revised: August 11, 2005.