Old Fashioned Christian Radio Music Store
Printable Order Form
Please print this form, fill it out, and mail it in with your payment (address is listed below)

INDICATE QUANTITY AND ITEMS ORDERED
Product# Artist Name and Title Quantity Price/Item Total
         
         
         
         
         
         
         
         
Total Merchandise Price $
Shipping information:
 1. I take payment by: Check, Money Order, Visa, MC, AMEX, Discover
2. All orders usually ship within one business day after receipt.
3. All orders ship via First Class or Priority Mail (Air Mail to Canada).
4. You should receive your order within 1 or 2 weeks.
5.  If you entered an E-mail address you'll get a confirmation notice.
6.  All checks must be payable in US Dollars.
Credit Card#______________________________Exp Date:______
CVV2 CODE:______
(Last 3 numbers on back) (AMEX: 4 numbers above card number)
Name On Card:_________________________________________
Sign here:_____________________________________________

Shipping Charge ($2.00 for 1st CD
(+$1.00 each additional)
($8.95 Maximum)

  
 8.00% Sales Tax
(Texas Only)		 $
Grand Total $
ORDERED BY (Same as credit card billing address) SHIP TO  (If different than ORDERED BY)
Name:   Name: 
Address: Address: 
Apt/Suite#: Apt/Suite#: 
City: City: 
Province/State: Province/State: 
Zip/Postal Code:  Zip/Postal Code: 
Country:  Country: 
Phone #:  Phone#
E-Mail Address:  E-Mail Address:

Mail This Form with payment to:
Old Christian Radio
PO Box: 535054
Grand Prairie, TX 75053-5054

Customer Service Contact info: (Street address info is on  the contact info page.)
 Phone# 817-320-1138 E-Mail: onlineorders@oldchristianmusic.com   Homepage: www.oldchristianmusic.com