Our Loving Mother's Foundation of Hollywood, Inc.

Order Form

PLEASE PRINT THIS PAGE AND SEND IT TO
OUR LOVING MOTHER'S FOUNDATION OF HOLLYWOOD WITH YOUR CHECK OR MONEY ORDER.

                              (Please print clearly)

Your Name:

Address:

 

City:

State:

Country:
______________________________________________

______________________________________________

______________________________________________

______________________________________________

__________ Zip/Postal Code: ________________

__________________________________________

Send to:

Our Loving Mother's Foundation of Hollywood, Inc.
Product Orders
1301 North 66th Avenue
Hollywood, FL 33024 USA
ITEM

QUANTITY

DONATION

TOTAL

Encounters of Love With Jesus and Mary, 1994-1995   (Book - English only)

__________

$5.00 each

 $____________

Concierto de Amor a Jesus y Maria   (CD)

__________

 $10.00 each $____________

Merchandise Total 		$____________

SHIPPING & HANDLING
Order Total

Add
Up to $15.00  $2.00
$15.01 to $30.00  $4.00
Over $30.01 $5.00

Shipping & Handling

$____________

Sub Total

 $____________

Total Enclosed

 $____________

Send this form with your check or money order payable to:  Our Loving Mother's Foundation of Hollywood, Inc.  Do not send cash.  Please allow 3-4 weeks for delivery. 

Thank you for your order!  May God and His Loving Mother bless you and your family!