Order Form

Print out this form and mail it along with your check or money order to:

Testify
106 Arapaho Circle
West Monroe, LA 71291
318-396-5937

For VISA or Master Card orders call 318-396-5937 (Or fill out credit card information below)

CDs	Price	Quantity	Amount
Rhythm of Grace	$15.00
The Highest Call	$15.00
10 Anniversary	$15.00
A Few Good Songs	$15.00
Combo Pack Buy 3 get 4th free	$45.00
Videos
Live at the Starlite Theater DVD	$20.00
Live at the Starlite Theater VHS	$20.00
T-Shirts Youth Small though X-Large and Adult Small through X-Large		Size/Quantity
Navy T-Shirt	$15.00
Navy T-Shirt Long Sleeve	$20.00
UPS Brown and Pink T-Shirt	$15.00
UPS Brown and Pink T-Shirt Long Sleeve	$20.00
Pink and Brown T-Shirt	$15.00
Flouresent Green and Pink	$15.00
T-Shirts XXL		Size/Quantity
Navy T-Shirt	$17.00
Navy T-Shirt Long Sleeve	$20.00
UPS Brown and Pink T-Shirt	$17.00
UPS Brown and Pink T-Shirt Long Sleeve	$20.00
Pink and Brown T-Shirt	$17.00
UPS Brown and Pink T-Shirt Florissant Green and Pink	$17.00
Testify Hat	$20.00
Sound Track Titles Write Title Underneath		Quantity
	$15.00
	$15.00
	$15.00
	$15.00
	$15.00
	$15.00

POSTAGE: ($3:00 per order up to $29.00; $4:00 per order $30.00 and over)
Total Amount Due:

Payment Options:

Circle One:

(VISA) (Master Card)
(CHECK ENCLOSED) (MONEY ORDER ENCLOSED)

Name:

Address:

City:

State:

Zip:

Telephone:

E-Mail:

Credit Card Account Number:

Expiration Date: Month Year 3 Digit V Code

Last Three Numbers on Back of Card

Signature:

Office Use:

Date Received:

Date Mailed: