Theocratic Bookbinding                                             534 E. 37th Ave Lot 412                                                Hobart,  IN  46342                                                    219-616-3534                Customer Information                                                                 (Please Print) Name: _______________________ Address: _____________________ City: ________________________ State: ________Zip Code : _______ Phone/Cell: ___________________ Email: _______________________ ______________________________________________________________                                                   Bible/Reasoning $80.00  ____ Bible/Song Book $80.00  ____ Reference Bible $90.00  ____  Reference/Good Land  $100.00____  Small Song Book $65.00 ___ Large Song Book  $70.00_____  Leather Color: ______________________________ Ribbon Color:_______________________________ Silver Edge Pages ______  Gold Edge Pages ______ Language ____________________ Embossed Name  ______________________________ Embossed Baptism Date ___________ _______________________________________________________________ Bible/Reasoning $80.00  ____ Bible/Song Book $80.00  ____ Reference Bible $90.00  ____  Reference/Good Land  $100.00____  Small Song Book $65.00 ___ Large Song Book  $70.00_____  Leather Color: ______________________________ Ribbon Color:_______________________________ Silver Edge Pages ______  Gold Edge Pages ______ Language ____________________ Embossed Name  ______________________________ Embossed Baptism Date ___________                                            ______________________________________________________________     Bible/Reasoning $80.00  ____ Bible/Song Book $80.00  ____ Reference Bible $90.00  ____  Reference/Good Land  $100.00____  Small Song Book $65.00 ___ Large Song Book  $70.00_____  Leather Color: ______________________________ Ribbon Color:_______________________________ Silver Edge Pages ______  Gold Edge Pages ______ Language ____________________ Embossed Name  ______________________________ Embossed Baptism Date ________________________________________                                                                                                                                                                             Subtotal ____________ Shipping $1.00-$25.00= $6.00 $25.01-$50.00= $8.00 $50.01- 80.00= $10.00  $80.01 - and up=$15.00                                       Shipping        _____________                                                                               Total             _____________ _______________________________________________________________ Mail NEW books for binding, Money Order, & this order form. These prices are CASH only. No phone or Credit Card orders. (no prepaid mailer will be sent)To save you money when mailing us your books, mail your books Media Mail at the Post Office. Make Money Order payable to:  Theocratic Bookbinding Allow up to 10 weeks for delivery.