Jay Groft - Every Blessing CD Mail Order Form:

Full Name:

Street Address:

City, State, Zip:

Phone Number:

How did you hear about us?

Item	Quantity	Price/Amount	Total
Every Blessing CD		$15.00
Love Begotten CD		$15.00
Donation (optional)
Shipping (see chart below)
		Total:

Shipping Costs: 1 - 2 CDs 3.00 3 - 4 CDs 4.00 5 or more 7.00	Checks can be made payable to James Groft. Mail this completed form to: Jay Groft 4028 W Augusta Phoenix, AZ 85051

Thank you so much for your purchase!  May God bless you!