ChoG 2019-2020 Yearbook Order Form

2019-2020 Yearbook Order Form

Orders will be taken through July 12, 2019.

Disclaimer: Because we care about the safety of our churches and partners in ministry--nearby and across the globe--by purchasing a yearbook, I agree to guard its contents carefully, and not to sell or distribute contact information without the written consent of the individual.

Individual or Church Name*

Shipping Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Daytime Phone*

Person Placing Order

Yearbook Order Detail

Answer Yes or No to the question below and your item and quantity will appear for ordering

Are you a Retired Minister (Discounted)?*

Yes No

Paperback - Early Bird, ordered by 03/31/19 $

Quantity*

Cost USD Early Bird Paperback $

Spiral - Early Bird, ordered by 03/31/19 $

Quantity*

Cost USD Early Bird Spiral $

Paperback - Regular price, ordered after 03/31/19 $

Quantity *

Cost USD Regular Paperback $

Spiral - Regular price, ordered after 03/31/19 $

Quantity *

Cost USD Regular Spiral $

Processing Fee (Internal Use Only - will not be added to self-service orders) $

Quantity *

Cost - Processing Fee $

Paperback - Retired $

Quantity*

Cost USD Paperback Retired $

Spiral - Retired $

Quantity*

Cost USD Spiral Retired $

Total Cost

Is your yearbook(s) being shipped to an address in the State of Indiana?*

Yes No

Are you Indiana State Sales Tax Exempt?*

Yes No

Product total from above Costs:

Above Order Total $

IN Sales Tax, those not tax-exempt add 7%

7% Indiana Sales Tax $

Product Total + 7% tax:

Amount Due, Taxable $

Your yearbook will not be pre-ordered until we receive your State Sales Tax Exemption form (ST-105).

Upload your ST-105 Form:

Form ST-105

No File Chosen

File uploads may not work on some mobile devices.

If unable to upload your ST-105, email your form to CustomerService@chog.org, or fax it to 765-642-5652.

Provide your Indiana State Sales Tax Exemption Number:

Sales Tax Exemption Number*

Amount Due, Non-taxable $

Total Cost Due $

Payment Information

This online form requires a credit card

Name on Credit Card*

Card Billing Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Credit Card*