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2005 Weekend Pillar ORDER FORM - Worldwide Marriage Encounter

2005 Weekend Pillar ORDER FORM - Worldwide Marriage Encounter

2005 Weekend Pillar ORDER FORM - Worldwide Marriage Encounter

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ERL Filename: WP4500.docPAYMENT BY CHECK OR CREDIT CARD MUST ACCOMPANY <strong>ORDER</strong>NOTE: ACTUAL SHIPPING WILL BE BILLEDMake checks payable to: <strong>Worldwide</strong> <strong>Marriage</strong> <strong>Encounter</strong>Credit card information:Visa_____ MasterCard_____ Account #___________________________________________Expiration date___________________________________Print name as shown on card_______________________________________________Signature______________________________________________FAX CREDIT CARD <strong>ORDER</strong> TO: 909/863-9986MAIL <strong>ORDER</strong> TO: WWME National Office2210 East Highland Ave. #106San Bernardino, CA 92404FaithSHIP ITEMS TO: Section #____Local Community______________________Expression_____________Name (please print) _______________________________________________________________________Address ________________________________________ Phone # ________________________________City _______________________State ______Zip code __________Email___________________________Copyright © 2004-<strong>2005</strong> by <strong>Worldwide</strong> <strong>Marriage</strong> <strong>Encounter</strong>, Inc., All Rights Reserved Page 3 of 3

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