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
Greatest Hits	$15.00
Shine On Us	$15.00
A Night Of Southern Gospel (LIVE)	$15.00
Rhythm of Grace	$15.00
The Highest Call	$15.00
10th Anniversary	$15.00
6 Disc Special Greatest Hits, Shine On Us, Nigh Of Southern Gospel, 10th Anniversary, Rhythm Of Grace & The Highest Call	$50.00
3 Disc Special 10th Anniversary, Rhythm Of Grace & The Highest Call	$20.00
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 Testify T-SHIRT	$15.00
Pink and White Vintage Testify T-SHIRT	$15.00
Baby Blue and Pink Testify T-SHIRT	$15.00
Testify Hat (Out of Stock) Blue and White Trucker Hat (Richardson 110)	$20.00
Sound Track Titles Write Title Underneath		Quantity
	$20.00
	$20.00
	$20.00
	$20.00
	$20.00
	$20.00

POSTAGE: ($6:00 per order up to $29.00; $7:00 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: