Backroads Ministry
Product Order Form

Print out this order form, fill it out, enclose check or Money Order in US funds and mail it to the address at the bottom.


Name: ___________________________________________________________________

Address: ________________________________________________________________

City: ___________________________________________________________________

State: __________________________________________________________________

Zip: ____________________________________________________________________

Telephone: (____) _____________________

  
                         ORDER FORM

Cassette Tape:  Cattle On A Thousand Hills  $10.00/each     Number wanted:  _____
          CD:   Cattle On A Thousand Hills  $15.00/each     Number wanted:  _____
Cassette Tape:             Sunday Best      $10.00/each     Number wanted:  _____
          CD:              Sunday Best      $15.00/each     Number wanted:  _____
          CD:          Come As You Are      $15.00/each     Number wanted:  _____
          CD:   You Ain't Seen Nothin' Yet  $15.00/each     Number wanted:  _____
          CD:                 Be Still      $15.00/each     Number wanted:  _____

T-shirts     Cowboy Up!       short sleeve  $15.00/each     Number wanted:  _____
                              long sleeve   $15.00/each     Number wanted:  _____
             Cowgirl Up!      short sleeve  $15.00/each     Number wanted:  _____
                              long sleeve   $15.00/each     Number wanted:  _____

Hats         Backraods Ministries           $15.00/each     Number wanted:  _____
                     Outreach USA           $15.00/each     Number wanted:  _____
             John 3:16 in Route 66 emblem   $15.00/each     Number wanted:  _____

   Postage and Handling                               Subtotal |__________

  0-$15.00 .........$3.95                   CA, TX, Add 8% Tax |__________

  $15.01 - $50.00...$7.95                   Postage & Handling |__________ 

  $50.00 - $100.00..$9.95               Canadian Funds Add 40% |__________

  $100.01 and above add $15.00         Tax Deductible Donation |__________

                                                 GRAND TOTAL   |__________

Back

Mail Order To:
Justin Todd Herod
Backroads Ministries

P.O. Box 1760, Palestine, TX 75802

Phone: (903) 723-2070, Fax: (903) 729-6543
E-mail: info@justintoddherod.org