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The Church of Virgin Mary and St. Athanasius
Kids Agpeya Order Form (Canada/USA only)
Please complete this form using CAPITAL LETTERS
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Your Name
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Your email address
(required for confirmation)
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Church
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Address
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City
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Province/State
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Postal/Zip Code
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Country (USA/Canada)
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Phone Number
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Contact Person
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Please send me the Agpeya (S & H is extra)
Quantity _____ x $1.50 per copy = Total $ ____
I enclosed cheque for $_____ made payable to The Church of Virgin Mary and St.
Athanasius
SIGNATURE _____________________
May God Bless all the Church Services for the
Glory of His Blessed Holy Name Amen
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