2025 WMD T-shirt and Gleaner Order Form

2025 World Missions Day T-shirt and Gleaner Order Form
Name:*

First NameLast Name
Phone Number:*
Email:*
example@example.com
T-Shirt Order
Small:
Medium:
Large:
X-Large:
XX-Large:
XXX-Large:
4X-Large:
Total Number of T-shirts - $15.00 each*
Number of 75th Anniversary Edition Gleaners (FREE):*
Shipping Cost
Would you like to cover the cost of shipping The Gleaners or pick them up at the office?*

We'll pay the shippingWe'll pick up at BMA Global, 611 Locust Street, Conway, Arkansas
Shipping Address:*

Address

Address Line 2

CityState

Zip Code
Sub Total:
Total Cost:
Only Visa, MasterCard or Discover Card accepted.

Payment*

USDTotal Cost

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

2025 World Missions Day T-shirt and Gleaner Order Form