Printable Order Blank - Print, fill out and send with check or money order to:
Polk County Christian School
Parent/Teacher Fellowship
P.O. Box 303
Bolivar, MO, 65613, USA
Telephone: 1 417-777-2330
E-mail Address: operations@polkcountychristianschool.org

Date:______________________________

Qty. Description Price Each Total Amount Remarks

Favorites from Our Table Cookbook
 15.00


PCCS 2009 Christmas Program Video DVD
 10.00


Donation to help support the work of PCCS


                                                                                                    Subtotal
                               
Include $2.00 packing and shipping for each item ordered                  
Shipping
 
Make check or M/O to Polk County Christian School PTF Total Encl.



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Name  _________________________________________
Address _______________________________________
City______________________State/Province___________
Zip/Postal Code__________ Telephone _________________
E-mail Address:___________________________________
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Thank you -- We Appreciate Your Business!
Please help support PCCS by your donation.
E-mail us at operations@polkcountychristianschool.org
if you have questions or additional shipping instructions.
Visit our home page at http://polkcountychristianschool.org

 Name  _________________________________________
Address _______________________________________
City______________________State/Province___________
Zip/Postal Code__________ Telephone _________________
E-mail Address:___________________________________

Provide any additional shipping instructions here:
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