Order
Form
Print this page from your computer, mail or FAX to:

The Rowan Tree Church
9724 132nd Ave NE
Kirkland, WA 98033
FAX: 425-803-2025


Your Name:_______________________________________________________________________

Street Address/P.O. Box:____________________________________________________________

City:_______________________________________________ State:_________ Zip:___________

Phone number if we must reach you:___________________________________________________

Method of payment: ____Check or U.S. Money Order  ____MasterCard  ____Visa

Card Number:_____________________________________________ Expiration Date:_________

Name as it appears on card:__________________________________________________________

Signature as it appears on card:_______________________________________________________

Zip code of billing address:___________________________________________________________

Quantity Description Unit Price Total Price
       
       
       
       
       
       
       
       
       
       
       
       
 
  Total  
Discount  
Sales Tax
(WA only add 9.5%)
 
Shipping  
ORDER TOTAL  

Charges will appear on your statement under "The Hermit's Grove."