Please fill out form below completely and return with mail in orders to PO Box 14185, Durham NC 27709. - - thank you.

ANGEL FOOD MINISTRIES

NAME ________________________________

ADDRESS __________________________________

___________________________________________

PHONE ____________________________________
(Number Where You Can Be Reached on Day Of Distribution)

DATE OF PICKUP: July 26, 2008

TIME OF PICKUP: between 9:00 am and 11:00 am

PURCHASE IS ONLY FOR DISTRIBUTION DATE
AS SHOWN ABOVE

________ Regular Units  X  $ 30.00     =   _________
(Quantity)

_________ #1 SPECIAL   X  $ 20.00 =   ___________
(Quantity)

_________ #2 SPECIAL   X  $ 20.00 =   ___________
(Quantity)

_________ #3 SPECIAL   X  $ 18.00 =   ___________
(Quantity)

_________ #4 SPECIAL   X  $ 16.00 =   ___________
(Quantity)

TOTAL $______________________________

METHOD OF PAYMENT
CHECK $_______________
MONEY ORDER $_______________

Make checks & money orders
payable to Eagles' Summit

Mail your payment to:  Eagles’ Summit Christian Fellowship Church, P.O. Box 14185, Durham NC 27709

NO REFUNDS – NO CREDIT FOR FOLLOWING MONTH(S)

LOCATION OF PICKUP:  Eagles’ Summit Christian Fellowship Church, 2000 Chapel Hill Rd., Durham, NC 27709

BRING ONE LARGE BOX PER UNIT

*** UNCLAIMED FOOD WILL BE DONATED TO OTHERS IN NEED IF NOT PICKED UP AT THE DESIGNATED TIMES

back