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rosaries.com, L.L.C.		Home	Visit the Rosary Gift Shop
Print out and fax this form to: 405-325-7816				rosaries.com, L.L.C. PO Box 2206 Norman, OK 73070-2206 Phone: 405-325-9857 pray@rosaries.com http://www.rosaries.com
(We accept Mastercard, Visa, American Express or Discover)
Name (First & Last)
Address 1
Address 2
City, State Zip
Country
Phone
Email
Payment Type (Circle One)		Mastercard / Visa / Discover / American Express
Credit Card Number
Credit Card Expiration Date
Credit Card Signature
Quantity	SKU/Item #	Rosary or Item Name			Price Each	Total
Choose a Rosary Zipper Case
	17823	White Vinyl Rosary Case			Included	0.00
	17824	Black Vinyl Rosary Case			Included	0.00
	3890102	White Leather Rosary Case			6.00
	3890101	Black Leather Rosary Case			6.00
	3825004	Blue Velvet Rosary Case			6.00
	3825007	Burgundy Velvet Rosary Case			6.00
	3825001	Black Velvet Rosary Case			6.00
Choose a Rosary Prayer Book
	41930	English Rosary Prayer Book			Included	0.00
	15960	Spanish Rosary Prayer Book			Included	0.00
Add a Carmelite Scapular					5.00
SUB-TOTAL
SALES TAX Oklahoma Residents Add 7.5%
SHIPPING & HANDLING Inside USA, Standard 5-7 Days  ($4.95) Inside USA, Priority 3-4 Days  ($5.95) Inside USA, Express 2nd Day  ($19.95)
TOTAL