A Bicentennial History Order Form

Please complete this order form, then make your payment here (choose “Bicentennial Book” under “Select a Fund” with the amount of $55 per book.)

Name

First Name

Last Name

Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone:

(###)

###

####

Email:

Choose Total Number of Books in Your Order:

Total Amount

Per copy price of $55.00/book includes sales tax (as well as book-rate shipping, if needed) or you may pick-up at church.

Book Delivery Option

Pick Up at Church Office

Mail to Address Above