Reflections Ministry

Were Not Our Hearts Burning! - Book Order Form

Please complete the Book Order Form below.  You will receive a confirmation page upon submission.
Before we can complete your order we request that you send payment (check or money order endorsed to John Palmer) to the following address:

John Palmer
6460 Convoy Ct.
#2
San Diego, CA 92117

Note: A portion of the proceeds from book sales will be donated to the "Christian Foundation for Children and Aging" (CFCA).  Thank you for your order!  If you have any questions, please feel free to email me.

* Denotes required fields

Part 1 - Requester Information:

*Name:
 

Phone (include area code):

E-mail Address:

Mailing Address (include Apt. # or other, if applicable):

Ship To Address (if different than mailing address):

Part 2 - Ordering Information:

Book Prices:
1-4 @$15.00/ea          5+ @$13.50/ea
Shipping and Handling:
1 @$7.00 - add $4.00 for each additional book

Number of Books Ordered:

Total Price of Books based on above:

Shipping and Handling price based on above:

Grand Total of Order:

Comments: