WHISPERED PRAYERS ORDER FORM


Whispered Prayers
1112 Main St #179
Manteca,  CA  95336
(209) 840-3500
http://www.WhisperedPrayers.net
       


Please ship to:

Name:_________________________________________________________

Address:______________________________________________________

City:_________________________________________________________

State:_______________________________ Country: _______________

Zip Code: _______________    Phone:___________________________




Quant   Description                        Unit Price        Total
         
_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

_____  ________________________________  $__________      $_________

                            SUB TOTAL                     $_________

                            TAX (CALIF. Only - 7.75 %)    $_________
                                 
                            SHIPPING                      $_________

                            TOTAL                         $_________



Shipping Charges (UPS Ground):
  -  please note that charges are good for US only 
  -  If you live in Canada, add $4.00 to shipping rates
  -  If you live anywhere else , exact shipping charges 
     apply - please e-mail or call us for a quote). 

Order Total          Shipping
                                                  
$1   - $14.99         $ 6.75
$15  - $29.99         $ 7.75
$30  - $49.99         $ 8.75
$50  - $74.99         $ 9.75
$75  - $99.99         $ 10.75
$100 - $124.99        $ 12.00
$125 - $149.99        $ 13.25
$150 - $174.99        $ 14.75 
$175 - $199.99        $ 16.00
$200 - $249.99        $18.00
$250 - and up          CALL


Please Circle Payment Method:
			                        
Visa     MasterCard     Money Order       Check
         
           ( Personal Checks & Money Orders may be held 10 days)	
			      
Credit Card Number: ________________________________ Exp. Date: _______				                                          

Name on Card: ___________________________________________________	
			                               
Signature:  _____________________________________________________



       Thank-you for your order ~ MoonRain and StormFox