** Your E-mail:
|
** What is your first name?
|
** What is your last name?
|
** What is your address?
|
Apt. No.:
|
** City:
|
** State:
|
** Zip:
|
** Country:
|
What is your phone no.?
|
** Is shipping address the same?
Yes
No
|
If no, what address should we ship your order to?
|
Which conference, retreat or seminar are you registering for?
Dinah Ministries Reviving the Woman Retreat Nov. 20, 21
Chosen Not Forgotten Conference VII 2010 "It's Harvest Time" Chicago, IL.
|
 I would like to order Deniece Senter Ministries New Anointing Oil.
1 for $8.95
2 for $10.95
3 for $13.95
|
 Books: each price below includes $3.95/shipping & handling:
Chosen Lady $19.99.
Pastors Married to Preachers $18.95.
Special Offer 3 Books Chosen Lady, Frozen Dreams & Write the Vision $35.95.
Frozen Dreams $23.94.
On Bended Knees Prayer Journal & Worship CD set $32.95.
Write the Vision & Make it Plain $28.99.
|
How many copies are you ordering?
|
How many copies are you ordering?
|
 Deniece's Teaching CD's and DVD's: each price below includes $3.95/shipping & handling:
Job a Restored Eagle CD $12.95.
Job a Restored Eagel DVD $18.95.
Empowered for the Kingdom DVD $18.95.
Birthing Your Promise CD $13.95.
Birthing Your Promise DVD $18.95.
|
 TV Shows: each price below includes $3.95/shipping & handling:
3 Chosen Popular VHS TV Shows; Marriage, Focus on the Family, Favor $43.95.
3 Chosen Popular DVD TV Shows; Marriage, Focus on the Family, Favor $58.95.
Chosen Popular CD TV Show; Your choice $12.95.
Chosen Popular DVD Show; Your choice $18.95.
|
How many copies are you ordering?
|
Please type in name of show/shows you are requesting:
|
How many VHS's/ DVD's/CD's or sets are you ordering?
|
 Partnership:
Ministry Force Partner Annual $1000.00 love gift commitment.
Ministry Force Partner Monthly $100.00 love gift commitment.
Vision Partner Annual $200.00 love gift commitment.
Vision Partner Monthly $20.00 love gift commitment.
General Offering love gift of any amount.
|
What day of the month would you like your monthly pledge to automatically come out of your gift card?
|
** Total amount to be charged to your gift card:
|
** Gift Card Account No. on back of card:
|
Are you a Partner?
Yes, I'm a Ministry Force Partner.
Yes, I'm a Vision Partner.
No, not at this time.
|
How did you hear about us?
|
Code Verification:
|
|
