3) If you are ordering a Communion/Offering/Pedestal Table (e.g. "This Do In Remembrance Of Me", "Offering", etc.) OR Tithe/Offering Box (e.g. "Tithes", "Offerings", etc.), please indicate what you would like etched onto the product :

4) Total before shipping :

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5) Please fill out the following form information as completely as possible :

Billing Information and Address :

If your shipping address is different than your billing address :

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Check/Money Order Purchase Order Number

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6) Please indicate below any special instructions for your order that you might have (All questions should be e-mailed to tom@curtisproductsgroup.com or 1-616-490-2176) :

Note : Your credit card will not be charged until the day of shipment.

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