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Calvary Baptist Church
Records Request
2017-18 CBCS Discount Card Order Form
Student's name who will get credit for selling the requested cards (not required)
*
First
Last
Enter the student's name who will get credit for selling the requested cards. Leave blank if this does not apply.
*
Indicates required field
Name
*
First
Last
Choose One
*
Pickup
Local Delivery
How many cards are you requesting?
*
0
1
2
3
4
5
6
7
8
9
10
more than 10
Local Delivery Address
*
Line 1
Line 2
City
State
Zip Code
Country
Contact Phone Number
*
Email
*
Comment
*
$5.00 per card
SAVINGS INCLUDE THE FOLLOWING
Order Cards
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