Visions-Decisions: Special Map Study Order Form

Visions-Decisions

		A
		1^st Step
		Your Full Name
		Street or PO Box
		City State Zip
		All orders must be verified before processing. Please leave a number where you can be reached between 8 a.m. and 5 p.m. EST
		Daytime Phone
		E-mail Address
		Name of church or organization
		Your relationship (e.g. title, position)

		2^nd Step
		Exact street address of your church (if a new church site, click here). Study will show approximately 5 mile around church in city areas and 10 mile in rural area
		Street or PO Box
		City State Zip





		Current Members		Current worship attendance
		Predominant Race/Ethnicity Other

		Pastor's Name		Church Phone
		Denomination

		Approximate location of new church. Give either a street intersection, including full names of streets, or a full street address, with city, state and zip code.

		3^rd Step
		You will be invoiced for the order after verification. Please note the billing address here, if different than your address
		My billing and shipping addresses are the same as above:
		Your Full Name
		Street or PO Box
		City State Zip
		If shipping address is different than your address, please show correct address below
		Your Full Name
		Street or PO Box
		City State Zip

		The price for your Special Map Study is $189.50. You may order additional full color copies for $19.50 each. Delivery is by priority mail. Allow 10 days for preparation and delivery.
		SMS Cost ($189.50) $