Calendar Order Form

Please Fill this form with the calendars for your Church District or Individual Church.

These numbers will then be used to order and ship the calendars.

Please put the number of calendars needed in the same order as the church name you added.

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Info for Churches

Church Name	if Other	Number of Calendars needed

Church Name

Number of Calendars needed - One per family - Estimate

Community

Church Life

IM-Connected Newsletter Signup Form

1005 Grand Ave • PO Box 65665 •

West Des Moines, IA 50265 • 515.223.1197