Kingsgate Publishing, Inc. - Order Form
Please fill out all applicable fields.  Upon completion, print and fax to 573-256-5055
 Contact/Billing Information
 
Company/Church
Name:
Street Address:               
City, State, Zip:              
Phone:   Fax:  
Email Address:

Church Affiliation:

(If individual) 
Ship to Information:   (If different from Billing)                               
 
 PLEASE CHECK ONE:  (A church is commercial)     Residential     Commercial
Name:             
Street Address:               
City, State, Zip:              
Phone:     
 Credit Card Information
 
Please bill my credit card! Card Number: 

If you would prefer to give us this information directly, please call us toll free at:   

  
Expiration Date      /

1-877-205-6166

 Name On Card: 
OR   I will send a check with a copy of this order in the mail
Mail to:  Kingsgate Publishing, Inc., 1000 Pannell Street, Suite E, Columbia, MO  65201
 
 
 
 
 
 
 
 
 

Quantity

Product #

Item Description

Unit Price

Total

Missouri Residents add 7.35% Sales tax to your total before shipping

If you have a tax exempt certificate it must be included with your order or faxed to our office at

573-256-5055 prior to our processing your order in order to avoid the sales tax

Shipping and handling is $7.50 up to $50.00 and an additional 5% for any amount over $50.00