Theology-on-Tap
THEOLOGY-ON-TAP©
MANUAL ORDER FORM
DATE:__________________
YOUR NAME: _____________________________________________________________
YOUR TITLE:______________________________________________________________
DIOCESE NAME: ____________________________________________________________
PARISH / UNIVERSITY / ORGANIZATION NAME:
__________________________________________________________________________
DENOMINATION: ____________________________________________________________
ADDRESS: _________________________________________________________________
CITY / STATE / ZIP: __________________________________________________________
PHONE: ___________________________________________________________
FAX: ______________________________________________________________
E-MAIL: ____________________________________________________________
PLEASE SEND ME _________ COPY / COPIES OF
THE THEOLOGY-ON-TAP© MANUAL
THE COST IS $25 PER MANUAL - TOTAL ENCLOSED: $___________
1. CREDIT CARD NUMBER: _______________________________
EXP. DATE: _________
PLEASE MARK ONE: ___MASTERCARD ____VISA ___DISCOVERY
2. PLEASE INCLUDE A CHECK MADE PAYABLE TO:
YOUNG ADULT MINISTRY
711 W. MONROE STREET
CHICAGO, IL 60661
3. IF PAYING BY CHECK:
PLEASE INDICATE “THEOLOGY-ON-TAP MANUAL” IN THE
MEMO PORTION.
THANK YOU!
