Heart of Mary Ministry

Order Form

Please fill in the requested information, print out the page, and mail to:
Heart of Mary Ministry
P.O. Box 9094 Station C
Omaha, NE 68109-9094

Yes, Sister, I would like to help you produce this beautiful album, Mother Dearest. I understand that by ordering now I shall receive my order postage and handling Free.

Please send me:

cassette tape(s) of Mother Dearest	At a donation of $10 for each = $
CD(s) of Mother Dearest	At a donation of $15 for each = $

I'd like to make an added donation to help Sister in her work for God and the Church.

= $

Nebraska residents, please add 6.5% for sales tax = $

Total = $

Name:

E-Mail:

Address:

Address2:

City:

State:

Zip:

Type of payment:

To charge your order, please complete following:
Note: If you wish, credit card orders may be completed online
using our secure order form (may take a little bit to load)
Type of credit card:

Number:

Name on card:

Expiration date (MM/YY):
example: 01/99
Month: Year:

Comments?:

Please make checks or money orders payable to Heart of Mary Ministry

Sr. Mary Lucy Astuto
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