‘Twas The Night Before Christ Order Form

 

 

Please send me ____ book(s) @ $20.00 per book.

 

                        ____ I will call CHS at 605-334-6004 to arrange to pick up my book(s) in Sioux Falls

                                or Rapid City.

                        ____ I would like my book(s) to be shipped (there will be an additional $4.50 per

                                book charge for shipping and handling.)

 

Ship To: Name: ___________________________________________________________________
  Address: _________________________________________________________________
  City: ______________________________________ State: ________ Zip: __________

 

Complete the Bill To information for Credit Card orders only if the billing address on your credit card is different than your

Ship To address.

Bill To: Name: ___________________________________________________________________
  Address: _________________________________________________________________
  City: ______________________________________ State: ________ Zip: __________

 

Payment Information:

  □ Check □ Visa □ MasterCard  
Card Number:  ________ - ________ - ________ - ________ Exp. Date: ___/___/___
Print Name:  _______________________________________________________________
Signature:  _______________________________________________________________
Phone Number:  _______________________________________________________________

 

 

Phone Orders:  (Visa/MasterCard charges only)

Call: Children’s Home Society at (605) 334-6004

(Monday – Friday, 8:00 a.m. – 5:00 p.m. Central Time)

 

Mail Orders:

Print out this form, complete, and send check/credit card info along with completed order form to:

Children’s Home Foundation

PO Box 1749

Sioux Falls SD 57101-1749

 

Fax Orders:

Print out this form, complete, and fax completed order form including Visa/MasterCard information to:

 

Children’s Home Foundation

Fax: (605) 335-2776

 

Please complete all of the order information below:

 

 
PRICE

QTY

TOTAL PRICE

PRICE x QUANTITY

‘Twas The Night Before Christ

$20.00

(Includes sales tax.)

 

 

Shipping & Handling (per book)

   $4.50      

 

 

Total Amount Enclosed:

Make check payable to Children’s Home Foundation