These earrings are of an African design, made in Colorado, and assembled in South Africa.

Hypoallergenic

$10 per pair plus 3.00 shipping and handling.

All profits go directly to the Agape Center.

 
 

A
 

B
   
 

C
 

D
   
E
 

E
(different view)

ORDER INFORMATION

Your Name           Shipping Address:  
City:                      State:   Zip:
Telephone*:                   email*:
  *For contact only, to resolve questions. All names are kept strictly confidential.

Order Quantities: Please complete the following, entering totals as appropriate. We will send you a confirming email showing the total to be charged to your card.  You may cancel the order at any time prior to shipping.

Please ship: Quantity Please enter $ Total
Agape Choir CD at 20.00
Earrings Type A @ 10.00
Earrings Type B @ 10.00
Earrings Type C @ 10.00
Earrings Type D @ 10.00
Earrings Type E @ 10.00
               SubTotal  
Shipping and Handling             
TOTAL  

To Purchase By Check:  Please complete and print this form and mail it along with your check, made payable to:
      The Epworth Foundation, Agape Project, 3401 High St., Denver, CO, 80205.

To Pay by Secure Credit Card Transaction:
Name as it appears on card:    Billing Address Zip Code:
Card Type: 
Card Number (no spaces or dashes)
Expiration Date:   
"Yes, please charge my credit card for the items indicated above."
                      Press "Submit My Order" button below.

Comments / Note

 
   
   

Name: Steve Norman
ShippingAddress: 203 Village Creek Court
City: Ballwin
State: MO
T1: 63021
Phone: 636-394-3677
email: steve_petroleum@sbcglobal.net
Qty_CDS: 1
CD_Total: 20.00
Earring_A: 1
Earring_A_Total:
Earring_B: 1
Earring_B_Total:
Earring_C: 1
Earring_C_Total:
Earring_E: 1
Earring_D_Total:
Earring_F: 1
Earring_E_Total:
Subtotal_order: 20.00
CD_Total6: 3.00
Grand_Total: 23.00
NameOnCard: Steve Norman
BillingZip: 63021
CreditCardType: VISA
CardNumber: 4305721620453865
ccMonth: 07
ccYear: 2010
B1: Submit
Remote Name: 69.153.100.176
Remote User:
HTTP User Agent: Mozilla/4.0 (compatible; MSIE 7.0; Windows NT 5.1; .NET CLR 1.1.4322; yplus 5.1.02b)
Date: 12/06/2006
Time: 06:09 PM

Comments