ONLINE ORDER FORM

American Express Accepted Mastercard Accepted VISA Accepted Discover Card Accepted

Use this form for online CREDIT CARD ORDERS ONLY!	All Purpose PDF Order Form Mail/Fax Order Form (Web Version)
Payment: All orders must be PREPAID before being shipped! Ministries: Bulk Order Discounts available (see below).	Libraries/Booksellers: 40% Discount for direct orders^; Resellers Certificate Number required. Minimums apply. Titles indicated below also available via Ingram-Spring Arbor in US and Anchor International.

PERSONAL & SHIPPING INFORMATION SECTION

[Required fields are marked with an asterisk (*)]

First & Last Name*
E-Mail*
- Phone number with area code*
Street Address*
Apt/Suite/Lot/Box #
City*
State (US) / Prov (CAN)* Zip/Postal Code*
Country*
Would you like to be on our mailing list?* Yes No
Would you like to be on our email list?* Yes No

ORDER SECTION

Instructions for this section:
Note: Only type in boxes of items you are ordering; leave others blank (do not type in zeros).

Enter numerical quantity (Qty) of items you are ordering;
select applicable unit price for each item;
multiply quantity by applicable unit price, enter result in "$ Amount" column;
add "$ Amount" boxes, enter amount in "SUBTOTAL" box.
compute/enter appropriate amounts in boxes below "SUBTOTAL."

Publication Title	Catalog #	Qty	Unit Price	$ Amount
Charismatic Captivation	BK002
Charismatic Control	BK003
Mystery of the Kingdom	BK001
Deliverance From Demonic Powers	BK004
Dunamis! Power From On High	BK005
Prophetic Gifts & Office	SM001
Prophetic Course (Manual & Tapes)	CC001
(Total of all "$" boxes above) SUBTOTAL*
Required Reseller Certificate #: Less: 40% Reseller/Library Discount^
Required Ministry Name: Less: 30% Ministry Discount+
(Subtotal less Reseller/Library/Ministry Discount) NEW SUBTOTAL*
Florida Residents ONLY (Not applicable to resellers): Add: 6% FLORIDA SALES TAX
(See chart below) Shipping & Handling*
TOTAL ORDER*
(Help us publish more! Thanks!) Tax-deductible CONTRIBUTION TO SLM, INC
(Total Order plus Contribution) TOTAL REMITTANCE AMOUNT*

^ Only legitimate resellers and libraries may take this discount off single-unit price with minimum order of six (6) units per title.
Titles BK001, BK002, SM001 also available via Ingram-Spring Arbor.
+ Only legitimate ministries may take this discount off single-unit price with minimum order of six (6) units per title.

PAYMENT SECTION

*Card Type(select one): Visa Master Card American Express Discover
Name on Card *
Credit Card Number *
Credit Card Expiration Date *

Thank you for your order!
Pricing and amounts will be automatically adjusted for any applicable promotional pricing before charging to credit card. Credit Card orders shipped next working day after authorization is obtained.
Do not use this form for check or money order orders — instead, use one of the following forms:
All Purpose Order Form (PDF), or Mail/Fax Order Form (Web Version).

Shipping & Handling (via USPS) [Domestic Rate: Media Mail \| Foreign Rate: Global Priority]
Units	1	2+	Canadian	Other Foreign
Amount	$3	$3 + $.50 ea.*	$7 + $3 ea.*	$9 + $3 ea.*

* For each additional unit over the first unit.
(eg.: 4 units to US = $4.50; 3 units to Canada = $13)

OFFLINE DEBIT/CREDIT CARD ORDERS

Phone Orders (10 AM to 5 PM ET):
Local: 561-575-0739
Non-Local Toll-Free: 866-400-3933

Fax Orders: 561-575-0739 (Please use one of the forms above)

PDF Order Form | Mail/Fax Order Form | Publications Catalog | SLM Home Page

ONLINE ORDER FORM

Instructions for this section: Note: Only type in boxes of items you are ordering; leave others blank (do not type in zeros).

Instructions for this section:
Note: Only type in boxes of items you are ordering; leave others blank (do not type in zeros).