WATCHMAN MUSIC ORDER FORM

Please make check or money order out to: Greg Silverman.

Mail the completed form, along with check, money order,
or credit card information to:
   Greg Silverman
   403 Walnut Hill Lane
   Havertown, PA  19083


Name:	 _____________________________________

Address: _____________________________________

         _____________________________________
         City                   State   Zip

Phone: _____________________  Email: _________________________________	


How did you hear about us?   _________________________________________

Would you like to receive our newsletter by Email?  ______
Would you like to receive our newsletter by Mail?   ______	


ITEM                          QUANTITY     AMOUNT

Revive CD...............$16 x ________  = $________

Dry Bones CD............$16 X ________	= $_________

Dry Bones Songbook......$10 X ________	= $_________

(Revive sheet music is available upon request.)


                                   S/H  + $3.00  (please call (215) 805-5082   
                                                  if outside continental U.S
                                                  or ordering 4 or more items)


                                   TOTAL  $_________

Payment Method:

       Check      Money Order       Visa       Mastercard	

16 digit card #:  ______________________________ 

expiration date (mm/yy):  __________


Thank you for supporting the ministry of Gregory Silverman and Watchman Music.  
May God bless you abundantly!!!