ORDER FORM

NAME _____________________________________

ADDRESS___________________________________

CITY______________STATE_________ZIP_______

EMAIL ADDRESS_____________________________

# OF TAPES______       DATE(S) OF TAPE(S)___________

MAILING ADDRESS IF DIFFERENT _____________

__________________________________________

__________________________________________

You may either copy this form and email it to:

 NORTHSIDE@NSCOG.ORG

or you may print it out and fax it to:

205-849-0818

or you may print it out and mail it to

NORTHSIDE CHURCH OF GOD
PO BOX 5446
BIRMINGHAM, AL 35207