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Name: After completion of the form below, use one of these methods to ensure our receipt of your order:
- Fax to 1(718) 854-6058, and
call 1(800)404-3943 to confirm.
- Mail to:
CONFRATERNITY OF THE PRECIOUS BLOOD
5300 FORT HAMILTON PARKWAY
BROOKLYN, NY 11219
Address:
City:
State: Zip Code:
Date:
Account Number:
Telephone Number:
Fax Number:

If you have any special instructions for this order, please place them in the space provided.


MERCHANDISE ITEM QUANTITY UNIT PRICE AMOUNT
Gold Finished Hoop Bracelet w/ Mary Charm $1.00
Silver Ring with Black Cross $1.00
Queen of Peace Pendant $1.00
Silver Finished Mother Seton Medal & Chain $1.00
Silver Finished Child in Palm of Hand on Chain $1.00
Gold Finished Rosary Bead Pendant $1.00
Precious Blood Laminated Heart $1.00
JMJ Medal $1.00
JMJ Medal with Chain $2.00
Mass Clock Leaflet .25
Precious Blood Cord $1.50
Precious Blood Chaplet $15.00
Precious Blood Litany .25
Christmas Cards w/ Flowers from Bethlehem $1.50 each
Gold Finished Bow Pin $1.00
My Own Prayers .25
PAYMENT OPTIONS: (please select one) SUBTOTAL:
Check         Cash       Money Order SHIPPING COST:
NO DISCOUNT ON MERCHANDISE TOTAL:



Please allow 2-4 weeks for your order to be processed and delivered.
Any extra donations towards our shipping costs will be appreciated. Thank You!