CROSS ROAD QUARTET ORDER FORM

1. Print this form

2. Write in the quantity and total price for each item

3. Write in your name, address and billing information

4. Mail to:  Cross Road Quartet, PO Box 4837, Diamond Bar, CA  91765

Product

 Price Quantity

Total
Full Circle (CD) $15.00    
Flood of Forgiveness (CD) $15.00    
Flood of Forgiveness (Cass) $10.00    
Live at Lake Hills (CD) $15.00    
Live at Lake Hills (Cass) $10.00    
Live at Lake Hills (Video) $15.00    
Where God Guides (CD) $15.00    
Where God Guides (Cass) $10.00    
Deliverance (CD) $15.00    
Deliverance (Cass) $10.00    
Under His Control (CD) $15.00    
Under His Control (Cass) $10.00    
Southern Gospel Out West - Vol 1 (CD) $15.00    
Southern Gospel Out West - Vol 1 (Cass) $10.00    
Southern Gospel Out West - Vol 2 (CD) $15.00    
Southern Gospel Out West - Vol 2 (Cass) $10.00    
Log Cabin Hymns- Instrumental (CD) $15.00    
Log Cabin Hymns- Instrumental (Cass) $10.00    
SHIPPING         No Charge
TOTAL:  

Subtract $10.00 for orders over $45 or $20 for orders over $90

  

Tax deductible donation 

  
TOTAL AMOUNT OF THIS ORDER:  
  

Please send check or provide credit card information - Do not send cash

Name:

                    

Address:

               

City:

     

State:

    

Zip:

    

Phone:

   
        

  ___ VISA

  ___ MasterCard
  ___  AMEX

  ___  Discover

    Card Number:     ______________________________________

  Expiration Date:  ______________________

  Signature:   ___________________________________________