The Harvest Company Christian Bookstore

Customer Shipping Form

For faster service, please complete this form by hand and bring it with you on you next visit. 

Customer Information

Name                                                                                                                                                                      

Phone                                                                                                                                                                     

Email                                                                                                                                                                      

Package Information

Contents                                                                                                                                                                 

Weight                                                                             Value                                                                              

Oversize Y__ N__                                                 Gift Receipt Enclosed Y__ N__

Greeting Card Enclosed Y__ N__                             Gift Wrap:  Plaid____ Dove____ N/A____

Ship To:

Name                                                                                                                                                                      

Address                                                                                                                                                                  

                                                                                                                                                                

City                                                                                                                                                                         

State                                                                                 Zip                                                                                  

Phone                                                                                                                                                                     

Email                                                                                                                                                     (optional)

Residential Y__ N__                                Ship: Fed-Ex____                             Priority Mail_____

Special Notes/Instructions

                                                                                                                                                                                

                                                                                                                                                                                

I confirm that all of the information above is true and complete.

                                                                                                                                                                                

Customer Signature

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

This Portion for Shipping Manager

Shipping Cost                                                                                 Date Shipped                                                                

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