By Fax:
Fill in the information below.
Then fax the completed form to 301-540-8959
By Mail:
Fill in the information below
and send it to the following address:
Lakewood Church of God
BILLINGS ALIVE!
22820 Frederick Ave
Clarksburg, MD 20871
Name:
___________________________________________________________
Address:
___________________________________________________________
City:
___________________________________________________________
State:
___________________________________________________________
Zip Code:
___________________________________________________________
Phone:
___________________________________________________________
E-mail:
___________________________________________________________
| (1) Modern Music | (5) Brattle Square | (9) Jordan | (13) Judea | (17) Hopkinton |
| (2) Bolton | (6) Middlesex | (10) David's Lamentation | (14) Shiloh | (18) Resurrection |
| (3) Boston | (7) Chester | (11) Cobham | (15) Creation | (19) Cobham *(piano solo) |
| (4) Kittery | (8) When Jesus Wept | (12) Bethlehem | (16) Northborough | (20) Modern Music *(piano solo) |
| (1) Billings Alive! Choral CD @ $15.00 ea. | (2) Billings Alive! Orchestral Accompaniment Soundtrack @ $50.00 ea. | (3) Individual Vocal Scores @ $2.50 ea. |
| (4) Individual * Piano Scores @ $10.00 ea. | (5) Complete Vocal Score Set (all songs) @ $30.00 ea. | (6) Individual Orchestral Score and Parts (per song) @ $195.00 ea. |
| (7) Complete set of Orchestral Scores and Parts (all songs/all parts) @ $2,000.00 |
| ITEM # |
Product Description (name of song* for items 3, 4 & 6 only) |
Donation |
|
| ITEM #1 | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | $15.00 each | __________ |
| ITEM #2 | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | $50.00 each | __________ |
| ITEM #3 |
|
$2.50 each | __________ |
| ITEM #4 | *________________________________________ | $10.00 each | __________ |
| ITEM #5 | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | $30.00 each | __________ |
| ITEM #6 |
|
$195.00 each | __________ |
| ITEM #7 | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | $2,000.00 /set | __________ |
| Sub-Total; | __________ | ||
| Shipping
charges (add 10% of Sub-Total) |
__________ | ||
| We ONLY accept credit card orders by PAYPAL. | ORDER TOTAL: | __________ |