Prophetic Destiny Ministry Order Form

                         Please print out this order form and use it to place your order with PDM.

Name Of Product Price

# Of Items

 Total

1.

    

$

2.

    

$

3.

    

$

4.

    

$

5.

    

$

6.

    

$
 

Subtotal  

$

(Please add $1.00 per item shipping cost / Canadian orders $1.50 per item) Shipping Cost 

$

Grand Total  

$

                                      Shipping Information (Please Print Clearly)

Name:

Street Address:                                                                                                Apt #:

City:                                                                               State:                                    Postal Code:

Phone Number:                                                E-mail Address:
If you want us to ship to a PO box please give us the information on the line below.

Ship To:

Send this order form with your U.S. check or international money order to:
Prophetic Destiny Ministry
PO Box 899
Johnstown, NY 12095