Clifton Jansky Music Order Form

 

 Quantity        Product                                                 Price              Subtotal

___           Get Off the Fence  CD                                                     x    $ 12.00   =   ________

___            Amarillo by Morning                                                   x    $ 12.00   =   ________

                    To Amazing Grace  CD

__              Above the Clouds  CD                                                     x    $ 12.00   =  ________ 

____         Lord Bring Us Back CD                                                 x    $  12.00   =  ________

____        FCA One Way 2 Play  CD                                               x     $  12.00   =  ________ 

 

 ALL PRICES INCLUDE APPLICABLE SALES TAX

1-4 add $ 3.oo  shipping                                  Subtotal  =  ________

5 or more  add  $ 5.00                                     Postage   =  ________

                                                                     Total Due   =  ________    

Name __________________________________

Address _________________________________

City/State _______________________________

Zip ___________Phone_____________________

This is how I found out about Clifton�s music and website 

_____________________________________________________

Send Order form plus Check or Money Order to:

Clifton Jansky Ministries  P.O. Box 65015  San Antonio, Tx 78265