p. (877) 529-2732
email: sales@lazarministries.com

Send this form with Payment to:
Lazar Ministries
2413 W. 60th St.

Davenport, IA 52806

Or fax it to: (800) 667-1136


Web Order Form


Name (as it appears on your credit card)



Billing Address



City, State, Zip









Fax (if applicable)



Qty. _______X $15.00 each =


+ Shipping ($2.00 Per CD)












Please check your desired method of payment:

Visa   Mastercard   AmEx   Discover   M. O. or Check* 

Credit Card Number:



Expiration Date: __________/20____
       (Month)          (Year)

Card Verification Number **

* For personal checks, corporate checks, or money orders, funds must clear first before CDs will be shipped.
** Last 3 digits on the back of Visa, MC, or Discover; Last 4 Digits on the front of AmEx.