SAINT LUKE EVANGELICAL CHRISTIAN MINISTRIES
                              ORDAINED RING ORDER FORM

1.    Name:____________________________________________________
	
      Address:______________________________________________________
	
      City:______________________________ State:_____ Zip:______________
	
      Phone:______________________________________

	E-Mail:_____________________________________
Please include full contact information in case we need to 
contact you about your ring.

2.  The Ring Of Your Choice:

	[ ] Mens 
	[ ] Ladies 
	

3.  Year of Ordination: __________

4.  Finger Size:	Gents:__________	Ladies:__________

5.  Options:

a)  Metal:			[ ] 14K Gold
				[ ] 10K Gold
				[ ] Sterling Silver  

                Color of Gold:  [ ]   Yellow
				[ ] White

b)  Stone Cut:   [ ]   Smooth   [ ] Faceted

c)  Antiquing	  [ ] Yes   [ ] No


d)  All colors of synthetic birthstones are available.  

		NOT AVAILABLE:  Pearl, Opal, Indian Turquoise

		Your choice of stone color:_________________________________

e)  You may have three initials engraved on the inside of your ring at
 no additional cost.   Or, you may have your full name engraved inside 
 the ring for an additional $15.00.   Please print your choice:

	Initials: ___ ___ ___     

      OR  Name: ____________________________________


6.  METHOD OF PAYMENT  (Full payment must accompany order):

	[ ] Check         [ ]   Money Order  
	Make checks or money orders payable to Rev. David M. Ford.       

	If payment is by credit card, please use the PayPal option on the school web site.

	

7.  CALCULATING YOUR COST:

  1.  Ring price						$__________
	
  2.  Full name engraved inside ring, add $15	$__________
	  	
  3.  Insurance and shipping,                   $__________
      Orders Within U.S. add $8.00
	Orders From Outside U.S. add $15.00          
		TOTAL AMOUNT DUE:				$__________


				WORKMANSHIP GUARANTEED
				    ALL SALES FINAL

Mail Order To:
				Rev. David M. Ford
                                                                         S.L.E.C.M.
				4263 Randall Rd
			                  Dearing, GA 30808

Remember: Personal checks from outside the U.S. cannot be processed. 
Orders from outside the U.S. need to be paid with International Money Orders,
payable in U.S. dollars, or use the PayPal option to pay by credit card. Thank
you for your understanding.
				    

	"The silver is Mine, and the gold is Mine," declares the Lord of Hosts.
				     Haggai 2:8