Sanctity of Human Life Online Order Form

Name*

Best Contact Number*

Email*

Church Name*

Church Phone*

Our Church would like a speaker on
1/6/19
1/13/19
1/20/19
1/27/19
No, our church does not need a speaker; our pastor will be teaching on SOHL

Please indicate time of service(s):

Main Service

Adult Small Group

Youth Small Group

How did you hear about this event?

Which resource(s) would you like to order?

Number of bulletin inserts we would like to order

DVD Patient Testimony
Yes

Permission to host a ministry table after or between services
Yes

Delivery Options

We would like to pick them up at the following Clinic
Central San JoseEast San JoseMountain ViewUnion City

Please deliver material to: (Note this option is available for bulletin inserts and dvd orders only)

Please enter 96:*

* indicates a required field.