: Over 561,000,000 Tracts Shipped in 112 Languages
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    Lifegate, Inc., PO Box 425, BEECH GROVE, IN 46107-0425
Phone: (317) 784-3600 ~ Fax: (317) 786-2750 ~ info@godssimpleplan.org
Copyright Lifegate, Inc.

Lifegate Logo
"Helping Evangelize the World"
FAX ORDER FORM
FAX to: (317) 786-2750
If you have any questions, please call us at: (317) 784-3600

Credit Cards - Master Card & Visa
Catalog # and Description Quantity Cost
    $
    $
    $
    $
    $
    $
    $
Indiana Sales Tax or Tax Exemption #   $
You will be billed exact amount of shipping TOTAL
in US$
$
Prices effective 2003-10-01 -- Subject to change without notice.
Any surplus money will be used to supply missionaries with tracts!
Shipping Name: Customer #:
Street Address: Shipping Preference
City, State, Zip:
Phone #: Fax #:
Credit Card Type:      VISA [   ]    MASTER CARD [   ]
Credit Card #: Expiration:
Authorized Signature: